Epidermoid Cyst in Uterine Cervix- A Rare and Unusual Location

Cervical epidermoid cysts and uncommon benign cystic lesions were identied in a 50-year-old woman. The patient presented with heavy menstrual bleeding and lower abdominal pain, and after initial treatment with endometrial biopsy and hemostatic uterine curettage, a total abdominal hysterectomy with bilateral salpingo-oophorectomy was performed. The gross examination of the specimen revealed a hypertrophied cervix with a cyst lled with grey-white substance, as well as a polypoidal mass in the fundus and intramural broids. Histopathological examination conrmed the diagnosis of a cervical epidermoid cyst as an incidental nding. Squamous metaplasia was conned to the cervical mucosa. The precise etiology remains unclear, but post-parturient implantation of vestigial embryonic tissue might be a contributing factor as there is no other associated etiology in this case. This case report emphasizes the importance of considering epidermoid cysts in the differential diagnosis of cervical masses and highlights the need for further research to better understand the formation and management of these rare cysts.