Cervical Tuberculosis Mimicking Cervical Malignancy

Abstract

A 36 years old patient presented to us with a history of primary infertility and secondary amenorrhea since 2 years and postcoital spotting per vaginum since 3 months. There was no history of any foul smelling discharge per vaginum, or any urinary problems. Her past menstrual cycles were regular, moderate and painless and she had amenorrhea since 2 years. There was no past history of tuberculosis and no history of contact. On examination, general condition was good. Systemic examination, did not reveal any respiratory pathology and cardiac status was normal. Per abdomen examination was normal. Per speculum examination (Fig. 1), cervical erosion on the anterior lip of the cervix was noticed, and a growth on the posterior cervical lip which bled on touch. On per vaginal examination, the uterus was bulky, fornices were clear. On per rectal examination both parametria were free. Investigations done as follows: Complete blood count Hemoglobin 10.9 gm/dl, total WBC count 8560 × 103 platelet count 3.24 lacs, ESR was normal. Her chest X-ray was normal and HIV status was negative. Total proteins were normal and liver and renal functions were normal. A pelvic ultrasound (Fig. 2) was done which was suggestive of bulky uterus and a collection within the uterine cavity. A dilatation and curettage with cervical biopsy was done for this patient. On D and C, a liquefied cheesy material was CASE REPORT