TB Research

Tuberculosis of the cervix remains a valid differential for cancer of the cervix: A case report

Farooqui Nailah, Walter P. Konya, Yusuf Khalil, Alex K. Thuranira

Journal of Obstetrics and Gynaecology of Eastern and Central Africa · 2021-12

Abstract

Background: Cervical cancer and tuberculosis remain significant health concerns, the former is associated with high levels of morbidity and mortality.Case presentation: A 37-year-old nulliparous woman presented to the gynecological ward with a five-year history of intermittent per vaginal bleeding, post- coital bleeding, and intermenstrual bleeding associated with per vaginal discharge anddyspareunia. She had a friable cervical mass on speculum examination, and cervical cancer was suspected. The patient was examined under anesthesia, and a biopsy of the mass was performed. Histological examination revealed cervical tuberculosis. The patient was started anti- tuberculosis therapy for six months and responded well.Conclusion: Cervical tuberculosis should be considered as a differential diagnosis for cervical masses, as seen in this rare case of cervical tuberculosis that mimicked cervical cancer. A high index of suspicion is required for timely diagnosis and treatment.

MeSH terms

  • Medicine
  • Tuberculosis
  • Cervical cancer
  • Cervix
  • Vaginal bleeding
  • Differential diagnosis
  • Vaginal discharge
  • Surgery
  • Biopsy
  • Presentation (obstetrics)
  • Obstetrics
  • Cancer