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

Junita Indarti, Hartono Tjahjadi, Ujainah Zaini, July Kumalawati, Yulia Rosa Saharman, Amanda Mustika Sari, Andri, Caroline Gladys, Febian Nathania, Adly Nanda Al Fattah, Muhammad Saiful Rizal

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review

Abstract

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.

Original languageEnglish
Title of host publicationObstetric and Gynecology Case Report
PublisherNova Science Publishers, Inc.
Pages253-264
Number of pages12
ISBN (Electronic)9781536167122
ISBN (Print)9781536167115
Publication statusPublished - 1 Jan 2020

Keywords

  • Cervical tuberculosis
  • Diagnosis
  • Management

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