Chakraborty P, Roy A, Bhattacharya S, Addhya S, Mukherjee S
Department of Microbiology, NB Medical College, Sushrutanagar.
J Indian Med Assoc. 1995 May;93(5):167-8.
Seven cases of tuberculous cervicitis were detected out of 91 culturally and histologically established cases of uterine tuberculosis. There was simultaneous infection of cervix and endometrium in 4 cases and only cervical lesion in 3 cases. Two women gave a definite past history of primary extragenital tuberculosis-peritonitis in one and pulmonary lesion in the other. Clinically, cervix was predominantly hypertrophied in 4 cases and predominantly ulcerative in 3 cases. Acid-fast bacilli (Myco tuberculosis) were recovered from 5 cases, in abundance from 2 hypertrophied lesions and in sparse number from the 3 predominantly ulcerative lesions. Histological examination revealed pseudo-epitheliomatous hyperplasia with poor cellular response in the hypertrophied cervix and non-caseating tuberculous granuloma in predominantly ulcerative cervix. All the patients were from Darjeeling hills where endemic tuberculosis is high. An awareness of this entity is necessary while dealing with the cervical lesion of these patients.
在91例经培养和组织学确诊的子宫结核病例中，检测出7例结核性宫颈炎。4例宫颈和子宫内膜同时感染，3例仅有宫颈病变。两名女性有明确的既往原发性生殖器外结核病史，其中1例为腹膜炎，另1例为肺部病变。临床上，4例宫颈以肥大为主，3例以溃疡为主。5例培养出抗酸杆菌（结核分枝杆菌），2例肥大性病变中数量丰富，3例以溃疡为主的病变中数量稀少。组织学检查显示，肥大的宫颈有假上皮瘤样增生，细胞反应较差，以溃疡为主的宫颈有非干酪样结核肉芽肿。所有患者均来自大吉岭山区，该地结核病流行率较高。在处理这些患者的宫颈病变时，有必要认识到这一疾病。
