Differential Diagnosis for Hyper Lesion Region of the Cervix with Internal Vascularity

• Single Most Likely Diagnosis
  • Cervical Cancer: This is the most likely diagnosis due to the presence of a hyper lesion region with internal vascularity on the cervix. Cervical cancer often presents with abnormal vascular patterns and can cause lesions that are visible on imaging studies.
• Other Likely Diagnoses
  • Cervical Dysplasia: Although less severe than cancer, cervical dysplasia can also present with lesions and abnormal vascularity, especially in more advanced stages. It's a precursor to cervical cancer and shares some similar imaging characteristics.
  • Cervical Polyp: Polyps on the cervix can sometimes appear as hyper lesions and may have internal vascularity, especially if they are large or have undergone torsion. However, they are typically benign.
• Do Not Miss Diagnoses
  • Cervical Sarcoma: Although rare, sarcomas of the cervix can present with aggressive features including significant vascularity. Missing this diagnosis could lead to delayed treatment and poor outcomes.
  • Metastatic Disease to the Cervix: Rarely, cancers from other parts of the body can metastasize to the cervix, presenting with lesions and abnormal vascularity. This would be a critical diagnosis not to miss due to its implications for treatment and prognosis.
• Rare Diagnoses
  • Cervical Lymphoma: Primary lymphoma of the cervix is extremely rare but can present with a mass and abnormal vascularity. It would be an unusual diagnosis but one that could have significant implications for treatment.
  • Cervical Melanoma: Melanoma of the cervix is very rare and can present with a pigmented lesion, though it might not always be visible as a hyper lesion on non-specific imaging. It has a poor prognosis if not caught early.