Gupta Avantika, Gupta Madhavi Mathur, Mankatala Usha, Khurana Nita
Department of Obstetrics and Gynaecology, Maulana Azad Medical College, New Delhi, India.
Department of Pathology, Maulana Azad Medical College, New Delhi, India.
J Midlife Health. 2014 Apr;5(2):95-7. doi: 10.4103/0976-7800.133999.
This is a rare case of a 35 year old multiparous lady with complaints of postcoital bleeding and foul smelling discharge for 3 months. On per speculum examination, a large irregular friable growth was seen which used to bleed on touch. A provisional diagnosis of carcinoma cervix was made, but the cervical biopsy revealed granulomatous inflammation with caseation, consistent with the diagnosis of cervical tuberculosis. The patient responded well to 6 months of antitubercular treatment. Hence, tuberculosis should be kept as a differential diagnosis of carcinoma cervix.
这是一例罕见病例,患者为一名35岁经产妇,有性交后出血及恶臭分泌物的症状,持续3个月。阴道窥器检查时,可见一个大的不规则易碎肿物,触之易出血。初步诊断为宫颈癌,但宫颈活检显示为伴有干酪样坏死的肉芽肿性炎症,符合宫颈结核的诊断。该患者对抗结核治疗6个月反应良好。因此,应将结核作为宫颈癌的鉴别诊断之一。