Leiomyoma are the commonest benign tumors affecting the female reproductive tract and constitute to around 18-20% of the uterine pathologies that are seen in women of the reproductive age group. Depending on its location in the uterus, fibroids are classified as uterine, cervical and ligamentary of which the cervical fibroids are the rarest and make up only around 2-2.5% of the total incidence of fibroids. Large cervical fibroids give a typical appearance known as “Lantern on St. Paul’s dome” where the small sized normal uterus sits on top of the cervical fibroid mimicking the Lantern on the dome of famous St. Paul’s Cathedral of Russia. This is a report of a case of cervical fibroid which showed the typical appearance and was successfully operated with no organ damage or blood loss.
Fibroids, Saint Paul’s dome.