Seth Ankit, Kudesia Madhur, Gupta Kusum, Pant Leela, Mathur Anjali
Department of Pathology, Kasturba Hospital, Daryaganj, Delhi, India.
J Cytol. 2011 Jul;28(3):141-3. doi: 10.4103/0970-9371.83477.
Genital tuberculosis is fairly common in Indian women due to high prevalence of pulmonary tuberculosis in the general population. Histopathological diagnosis is invaluable but often, diagnosis can be made with reasonable accuracy by Papanicolaou (Pap) smear test if the index of suspicion is kept high. Also, genital tuberculosis is considered to be more common in patients less than 40 years of age and rare after menopause. We describe two cases of cervical tuberculosis in patients over 40 years of age, including a postmenopausal case, diagnosed by smear tests and later confirmed by histopathology and bacteriology. The differential diagnoses as well as problems encountered in the diagnosis of a tuberculous lesion in Pap smears are also discussed.
由于普通人群中肺结核的高患病率，生殖器结核在印度女性中相当常见。组织病理学诊断非常重要，但如果保持高度怀疑指数，通常通过巴氏涂片检查也能做出合理准确的诊断。此外，生殖器结核被认为在40岁以下患者中更常见，绝经后则罕见。我们描述了两例40岁以上患者的宫颈结核病例，包括一例绝经后病例，通过涂片检查诊断，随后经组织病理学和细菌学证实。还讨论了巴氏涂片检查中结核病变诊断的鉴别诊断以及遇到的问题。
