Diagnostic approach and successful management of cervical tuberculosis: A case report

Only a few cases of cervical tuberculosis were reported in the literature, making it a rare condition. Additionally, the history and cervical characteristics of cervical tuberculosis resemble those of invasive cervical cancer. A 31-year-old nulliparous woman complained of having vaginal discharge and post-coital bleeding for 1 year prior to admission. The cervical examination revealed an irregular and fragile cervical mass that bled easily. The Pap smear test also suggests atypical squamous cell cannot exclude high-grade squamous intraepithelial lesion (ASCH). A suspected cervical cancer mass was visualized on our colposcopy view. A cervical mass biopsy revealed a chronic granulomatous cervicitis that is probably caused by tuberculous infection. Additionally, the serum interferongamma release assay (IGRA) test was positive. Therefore, the patient’s clinical and histopathologic diagnosis was cervical tuberculosis. A 4-week administration of first-line antituberculosis treatment resulted in the improvement of the cervical lesion. Based on the clinical and histopathological findings, our patient was diagnosed with cervical tuberculosis. First-line antituberculosis drugs are the treatment of choice for cervical tuberculosis.