Sabita Saichandran, Sharmila Vijayan, Arun Babu Thirunavukkarasu, Sinhasan Sankappa P, Darendra Singh
Associate Professor, Department of Obstetrics & Gynecology.
J Clin Diagn Res. 2013 Jun;7(6):1189-90. doi: 10.7860/JCDR/2013/5460.3077. Epub 2013 Jun 1.
Cervical tuberculosis is a rare form of genital tuberculosis. The manifestations of genitourinary tuberculosis are protean in nature. A high index of suspicion is required for making prompt diagnosis. The definitive diagnosis is based on the demonstration of the characteristic lesion on histopathology or on bacterial isolation. We are reporting a rare case of isolated cervical tuberculosis which mimicked carcinoma of the cervix. A 24 years old para 1, live 1, woman presented with secondary amenorrhoea and post coital bleeding which were there for one year. The speculum examination revealed a friable cervix which bled on touch. Though the clinical history and the examination findings were suggestive of a cervical malignancy, the histopathological examination revealed a granulomatous inflammation which was suggestive of tuberculosis. The patient responded well to the antituberculous therapy.
宫颈结核是生殖器结核的一种罕见形式。泌尿生殖系统结核的表现具有多样性。需要高度怀疑才能做出及时诊断。确诊基于组织病理学上特征性病变的显示或细菌分离。我们报告一例罕见的孤立性宫颈结核病例，其临床表现酷似宫颈癌。一名24岁、孕1产1、健在的女性，出现继发性闭经和性交后出血，症状持续一年。阴道窥器检查发现宫颈质地脆，触之易出血。尽管临床病史和检查结果提示宫颈恶性肿瘤，但组织病理学检查显示为肉芽肿性炎症，提示为结核。该患者对抗结核治疗反应良好。
