Jaiprakash Padmapriya, Pai Kanthilatha, Rao Lakshmi
Department of Pathology, Kasturba Medical College, Manipal University, Manipal, Karnataka, India.
Ann Saudi Med. 2013 Jan-Feb;33(1):76-8. doi: 10.5144/0256-4947.2012.26.5.1115.
Tuberculosis (TB) is a common infection in the developing countries. It can involve most organs. Genital TB is usually secondary to pulmonary or extragenital TB. Tuberculosis most commonly involves the upper genital tract. Involvement of the cervix is rare. In countries like India, where carcinoma of cervix is very common, cervical TB may easily be mistaken clinically for malignancy. We report a case of tuberculosis cervicits (secondary to pulmonary tuberculosis) in a 54-year-old postmenauposal woman, who presented with a complaint of discharge per vaginum for a short duration. Per speculum examination showed an ulcerated lesion over anterior lip of cervix, clinically suggestive of malignancy. However, a Papanicolaou-smear showed features suggestive of tuberculosis which was confirmed by biopsy, resulting in early diagnosis and treatment of the patient. Hence, in a patient with a suspicious cervical lesion and a prior history of tuberculosis, a diagnosis of cervical tuberculoiss must be considered.
结核病在发展中国家是一种常见的感染性疾病。它可累及多数器官。生殖器结核通常继发于肺结核或肺外结核。结核病最常累及上生殖道。宫颈受累较为罕见。在宫颈癌非常常见的印度等国家，宫颈结核在临床上很容易被误诊为恶性肿瘤。我们报告一例54岁绝经后女性的宫颈结核（继发于肺结核），该患者因短期阴道分泌物增多前来就诊。阴道窥器检查显示宫颈前唇有溃疡性病变，临床上提示为恶性肿瘤。然而，巴氏涂片显示有结核病的特征，活检证实了这一诊断，从而使患者得到了早期诊断和治疗。因此，对于有可疑宫颈病变且有结核病史的患者，必须考虑宫颈结核的诊断。
