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Primary extracranial meningioma of the pelvis discovered on screening pelvic examination
  1. Karen Carlson and
  2. Lauren Wegner
  1. Department of Obstetrics and Gynecology, University of Nebraska Medical Center, Omaha, Nebraska, USA
  1. Correspondence to Dr Karen Carlson; kscarlson{at}


Many conditions that affect a woman’s health can be evaluated through the pelvic examination. Early detection and treatment of a range of gynaecologic and non-gynaecological conditions, including unusual pelvic masses, may decrease a woman’s morbidity and mortality. Here, we have a female patient in her early 20s who was found to have a mass on her first screening pelvic examination. Subsequent imaging followed by surgical resection were performed with the final diagnosis of a pelvic meningioma. Routine pelvic examinations in asymptomatic women may be more useful than merely screening for cervical cancer and sexually transmitted infections. Once detected, the differential diagnosis of a pelvic mass may include aetiologies outside of the gynaecological organ system.

  • Healthcare improvement and patient safety
  • Obstetrics and gynaecology
  • Pathology
  • Radiology
  • Neurosurgery

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  • Contributors KC and LW were responsible for drafting of the text, sourcing and editing of clinical images, investigation results, drawing original diagrams and algorithms, and critical revision for important intellectual content. KC and LW gave final approval of the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.