Mandato Vincenzo Dario, Sacchetti Franco, Costagliola Luigi, La Sala Giovanni Battista
Department of Obstetrics and Gynecology, Arcispedale S. Maria Nuova di Reggio Emilia - IRCCS, University of Modena and Reggio Emilia, Italy.
J Low Genit Tract Dis. 2014 Apr;18(2):E29-33. doi: 10.1097/LGT.0b013e31829a5572.
Primary tuberculosis of the cervix is extremely rare, with only 20 cases reported in the English literature since 1949. Here we report the 21st case--an Italian woman with no risk factors.
A 50-year-old Italian nulliparous woman was referred to our gynecology unit for vaginal discharge. Her past history was negative. Colposcopy revealed an ulcerated lesion raising the suspicion of cervical cancer. A biopsy revealed a tuberculosis granuloma, and acid-fast bacillus was identified with Ziehl-Neelsen stain. As no other site of tuberculosis was found, primary cervical tuberculosis was diagnosed.
Although rare in industrialized countries, cervical tuberculosis may affect even women without risk factors. It should thus be taken into account in the differential diagnosis of cervical cancer.
宫颈原发性结核极为罕见，自1949年以来英文文献中仅报道了20例。在此，我们报告第21例——一名无危险因素的意大利女性。
一名50岁未生育的意大利女性因阴道分泌物增多转诊至我们的妇科病房。她既往史无异常。阴道镜检查发现一个溃疡病变，怀疑为宫颈癌。活检显示为结核肉芽肿，经齐-尼氏染色鉴定出抗酸杆菌。由于未发现其他结核部位，故诊断为原发性宫颈结核。
尽管在工业化国家罕见，但宫颈结核甚至可能影响无危险因素的女性。因此，在宫颈癌的鉴别诊断中应予以考虑。
