A rare case of cervical tuberculosis masquerading as carcinoma cervix.

  • Sonam Sharma Senior Resident , Department of Pathology, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi
  • Satya Dutta Department of Pathology, Shaheed Hasan Khan Mewati Government Medical College, Mewat, Haryana, India
  • Amit Kumar Yadav Department of Pathology, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi
  • Ashish Kumar Mandal Department of Pathology, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi
Keywords: Cervix, Tuberculosis, Rare, Histopathology, Carcinoma

Abstract

Genital tract tuberculosis (TB) is an overlooked chronic disease that often presents with low grade symptomatology. Cervical TB is a rare form of genital TB. We present an unsuspected case of a young woman with post-coital bleeding who was suspected of carcinoma cervix clinically, but which on histopathology turned out to be a case of cervical TB. 

References

1. Chowdhury NN. Overview of tuberculosis of the female genital tract. J Indian Med Assoc 1996;94:345-61.
2. Lamba H, Byrne M, Goldin R, Jenkins C. Tuberculosis of the cervix: case presentation and a review of the literature. Sex Transm Infect 2002; 78: 62-3.
3. Roy A, Mukherjee S, Bhattacharya S, Adhya S, Chakraborty P: Tuberculous endometritis in hills of Darjeeling: a clinicopathological and bacteriological study. Indian J Pathol Microbiol 1993;36:361-9.
4. Akhlaghi F, Hamedi AB. Postmenopausal tuberculosis of the cervix, vagina and vulva. The Internet Journal of Gynecology and Obstetrics 2004; 3:1-4.
5. Elkattan E, AbdElBadei M, Hettow H, Hussein E, Assaad J. Tuberculous cervicitis mimicking cancer cervix: A case study. Middle East Fertil Soc J 2014;19:75-7.
6. Siegler AM, Kontopoulous V. Female genital tuberculosis and the role of hysterosalpingography. Semin Roentgenol 1979;14:295.
7. Sachan R, Patel ML, Gupta P, Verma AK. Genital tuberculosis with variable presentation: a series of three cases. BMJ Case Rep Published Online: 27 Aug 2012. doi:10.1136/bcr-2012-006665.
8. Bhambani S, Das DK, Singh V, Luthra UK. Cervical tuberculosis with carcinoma in situ: A cytodiagnosis (letter). Acta Cytol 1985;29:87-8.
9. Carter J, Peat B, Dalrymple C, Atkinson K. Cervical tuberculosis- case report. Aust NZ J Obstet Gynaecol 1989;29:270-1.
10. Koller AB: Granulomatous lesions of the cervix uteri in black patients. South Afr Med J 1975, 49:1228-32.
11. Misch KA, Smithies A, Twomey D, O'Sullivan JC, Onuigbo W. Tuberculosis of the cervix: Cytology as an aid to diagnosis. J Clin Pathol 1976;29:313-6.
12. Shin AR, Shin SJ, Lee KS, Eom SH, Lee SS, Lee BS, Lee JS, Cho SN, Kim HJ. Improved sensitivity of diagnosis of tuberculosis in patients in Korea via a cocktail enzyme-linked immunosorbent assay containing the abundantly expressed antigens of the K strain of
Mycobacterium tuberculosis. Clin Vaccine Immunol 2008;15:1788-95.
13. Sachan R, Gupta P, Patel ML, Verma A, Maurya M. Cervical tuberculosis masquerading as cancer cervix : A report of three cases. Indian J Tuberc 2013; 60: 46-9.
14. Sinha A, Banerjee N, Roy KK, Takkar D. Cervical tuberculosis mimicking carcinoma cervix. J Obstet Gynecol Ind 2002; 52: 154.

15. Naik R, Sahu T, Panda K. Tubercular Cervicitis Clinically Mimicking Malignancy: Cytodiagnosis of Two Cases. Annals of Pathology and Laboratory Medicine, 2015;2(4), C239-242
Published
2016-04-08
Section
Case Reports