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


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.
Number of pages12
ISBN (Electronic)9781536167122
ISBN (Print)9781536167115
Publication statusPublished - 1 Jan 2020


  • Cervical tuberculosis
  • Diagnosis
  • Management


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