case_images: PMC8677399_01
case_images: Colposcopy: normal cervix.
case_images: CRIOG2021-6806960.001.jpg
case_images: PMC8677399_01_CRIOG2021-6806960.001.jpg
case_images: fig1
case_images: Colposcopy showed a normal cervix (Figure 1), with areas consistent with the recent LEEP procedure; the Squamous-Columnar Junction (SCJ) was fully visible, and no atypical area was detected.
case_images: MRI mild-signal hyperintensity in the posterior-left and front cervical side (arrows); no aspects of infiltration of the parametrium.
case_images: CRIOG2021-6806960.002.jpg
case_images: PMC8677399_01_CRIOG2021-6806960.002.jpg
case_images: fig2
case_images: The abdomen-pelvis MRI scan (Figure 2) did not show any morphological changes of the abdominal organs.
case_images: The cervix after vaginal trachelectomy and Shirodkar's cerclage.
case_images: CRIOG2021-6806960.003.jpg
case_images: PMC8677399_01_CRIOG2021-6806960.003.jpg
case_images: fig3
case_images: A small amount of epithelioid cells with a low-malignant potential proliferation index (immunocytochemistry MIB-1 proliferation index < 10% and mitotic index < 2 mitosis for 10 High-Power Fields (HPF) at 400x magnification) was described; no lymphovascular space invasion (LVSI) was detected; morphological and immunocytochemical findings were compatible with a nerve sheath tumor, type schwannoma (Figure 3).
case_images: Immunohistochemical positive staining for protein S100 and GFAP.
case_images: CRIOG2021-6806960.004.jpg
case_images: PMC8677399_01_CRIOG2021-6806960.004.jpg
case_images: fig4
case_images: At 14+4 weeks, after a detailed counselling, including the hysterectomy option, the patient accepted to be submitted to a vaginal trachelectomy and prophylactic cervical cerclage according to the Shirodkar technique (Figure 4).