The paper describes a clinical case of a concurrence of cervical tumor-like condition — epidermal metaplasia and non-epithelial cervical pathology — leiomyomas of the uterine cervix. A 53-year-old patient (with a 6-year postmenopause) sought for gynecological advice because of vaginal bleeding and tensive pains in the hypogastrium. Her examination revealed an increase in the posterior lip up to 5 cm with a 4 cm hyperemic area shifting to the vaginal vault. On palpation, the cervix was dense, hypertrophic at the expense of a rounded mass about 6 cm in diameter. Colposcopy showed that the stratified squamous epithelium above the hypertrophic area of the posterior lip of the cervix was riddled with numerous tortuous confluent vessels, against the background of which multiple black hairs were clearly seen. Optical coherence tomography (OCT) demonstrated that the intensity of laser radiation scattered by the area of stratified squamous epithelium was consistent with the OCT-image of the thin layer of the skin rather than with the OCT pattern of the cervical epithelium. Ultrasonography could identify a cervical myomatous node. In terms of leiomyoma growth in postmenopause, total hysterectomy with removal of the left appendages was carried out. Analysis of a histological specimen has confirmed the assumption that the cervix exhibits a fibrolipomatous nodule of normal structure; the surface epithelium has fibrous tissue areas, microcysts filled mostly with structureless horn-type masses, fatty tissue, and hair follicles. The described clinical case is an example of the pathological manifestations of the body’s adaptive processes as the epidermal metaplasia of the stratified squamous epithelium of the cervix, which occurs in the presence of uterine leiomyoma with minimal clinical manifestations. This example again raises the question as to the need for cervical screening in order to identify cervical pathological conditions.