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case_images: (A) T2-weighted MRI image from the initial gynecologic visit of the patient, indicating no suspicious findings in the cervix. (B) T2-weighted MRI image captured 17 months later, demonstrating a high signal intensity in the cervix, suggestive of LEGH. MRI, magnetic resonance imaging; LEGH, lobular endocervical glandular hyperplasia.
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case_images: Pelvic magnetic resonance imaging (MRI) showed cystic lesions in the cervix but no typical which is called cosmos sign (Takatsu et al., 2011), or elevated tumor markers (Fig. 1A); thus, the patient was scheduled for follow-up after three months. Transvaginal ultrasound revealed an enlarged cervix and pelvic contrast-enhanced MRI showed an enlarged cervical lesion, raising suspicion of MDA (Fig. 1B).
case_images: Histopathological examination of the cervical lesion. (A) Hematoxylin and eosin (HE)-stained tissue at 200 x magnification. (B) HE-stained tissue at 400 x magnification, highlighting morphological characteristics indicative of LEGH. LEGH, lobular endocervical glandular hyperplasia.
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case_images: Histopathological examination confirmed LEGH with residual lesions on the endocervical side of the uterus (Fig. 2A and B).