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J Low Genit Tract Dis. 2014 Apr;18(2):E29-33. doi: 10.1097/LGT.0b013e31829a5572.

Primary tuberculosis of the uterine cervix: keep it in mind.

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1
Department of Obstetrics and Gynecology, Arcispedale S. Maria Nuova di Reggio Emilia - IRCCS, University of Modena and Reggio Emilia, Italy.

Abstract

INTRODUCTION:

Primary tuberculosis of the cervix is extremely rare, with only 20 cases reported in the English literature since 1949. Here we report the 21st case--an Italian woman with no risk factors.

CASE:

A 50-year-old Italian nulliparous woman was referred to our gynecology unit for vaginal discharge. Her past history was negative. Colposcopy revealed an ulcerated lesion raising the suspicion of cervical cancer. A biopsy revealed a tuberculosis granuloma, and acid-fast bacillus was identified with Ziehl-Neelsen stain. As no other site of tuberculosis was found, primary cervical tuberculosis was diagnosed.

CONCLUSIONS:

Although rare in industrialized countries, cervical tuberculosis may affect even women without risk factors. It should thus be taken into account in the differential diagnosis of cervical cancer.

PMID:
23994952
DOI:
10.1097/LGT.0b013e31829a5572
[Indexed for MEDLINE]
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