Adenoma malignum is a rare subtype of cervical carcinoma.

Differentials for a multiloculated cystic lesion in the cervix:

• cervicitis
• nabothian cysts / tunnel cluster
• endocervical hyperplasia
  • no deep stromal involvement or solid component enhancement

Remember to screen the abdomen for intestinal polyps since adenoma malignum is associated with Peutz-Jeghers syndrome.

Special thanks to Dr HT Gururaj.