Abstract
BackgroundThis is an unusual case of a 26-year-old P2L2 lady who presented with chief complaints of pain abdomen and irregular bleeding p/v with history of post-coital bleeding.Case reportOn per speculum examination, cervix was replaced by an irregular friable growth, which was bleeding on touch. A clinical diagnosis of carcinoma cervix was made but the cervical biopsy revealed granulomatous inflammation with presence of acid-fast bacilli on cervical smear consistent with tuberculosis. The patient responded to six months of anti-tubercular therapy.ConclusionTo conclude, cervical tuberculosis should be considered in the differential diagnosis of carcinoma cervix in young women with suspicious cervix.
Highlights
This is an unusual case of a 26-year-old Para 2 with 2 living issues (P2L2) lady who presented with chief complaints of pain abdomen and irregular bleeding p/v with history of post-coital bleeding.Case report: On per speculum examination, cervix was replaced by an irregular friable growth, which was bleeding on touch
To conclude, cervical tuberculosis should be considered in the differential diagnosis of carcinoma cervix in young women with suspicious cervix
A case of tuberculosis of the cervix presenting as cervical carcinoma is being reported for its rarity
Summary
Cervical tuberculosis should be considered in the differential diagnosis of carcinoma cervix in young women with suspicious cervix. A case of tuberculosis of the cervix presenting as cervical carcinoma is being reported for its rarity. A 26-year-old P2L2 Indian lady, housewife by occupation, presented with chief complaints of pain abdomen, irregular bleeding and discharge per vaginum for three years. She had history of post-coital bleeding and inter-menstrual bleeding; and significant weight loss over the last two years. Cervix was replaced by an irregular friable growth, which was bleeding on touch (Figure 1). Colposcopic examination showed increased vascularity without any acetowhite or iodine negative areas. Biopsy taken from the cervical growth revealed granulomatous inflammation with caseous necrosis. Endometrial biopsy was normal with no AFB (Figure 2). Almost normal appearance and there was complete relief from symptoms
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