Lim Pei Shan, Atan Ixora Kamisan, Naidu Aruku
Department of Obstetrics & Gynaecology, Pusat Perubatan UKM, Jalan Yaakob Latif, 56000 Cheras, Kuala Lumpur, Malaysia.
Case Rep Obstet Gynecol. 2012;2012:727146. doi: 10.1155/2012/727146. Epub 2012 Dec 18.
Genitourinary tuberculosis is one of the common forms of extrapulmonary tuberculosis. We report a case of atypical genitourinary tuberculosis: massive uterovaginal prolapse with cervical lesion mimicking cervical carcinoma. This particular case highlights the problem of healthcare in most of the developing countries. Lack of patient education, awareness, and access to a healthcare system resulted in a complicated situation. In an endemic area or in an immunocompromised individual, a higher index of suspicion would allow early recognition and treatment institution to minimise its late consequences as well as spreading of the disease. Though anti-TB is the mainstay of treatment, surgical intervention might be needed in selected cases.
泌尿生殖系统结核是肺外结核的常见形式之一。我们报告一例非典型泌尿生殖系统结核病例：巨大子宫阴道脱垂伴宫颈病变，酷似宫颈癌。这一特殊病例凸显了大多数发展中国家的医疗保健问题。缺乏患者教育、意识以及获得医疗保健系统的机会导致了复杂的情况。在地方病流行地区或免疫功能低下的个体中，更高的怀疑指数将有助于早期识别并开始治疗，以尽量减少其晚期后果以及疾病传播。尽管抗结核治疗是主要治疗方法，但在某些特定病例中可能需要手术干预。
