Volume 33 Number 1 (2024)
Primary Tuberculosis of Cervix Which Simulated Endocervical Polyp: A Case Study
Jahan S1 , Begum F2 , Nigar K3 , Sarkar S4 , Beg A5 , Haque SMA6 , Nesa F7
Mymensingh Med J 2024 Jan; 33 (1): 307-310
PMID: 38163809
Abstract
Tuberculosis has been described as the second great “Imitator” as it can imitate various other disease processes. The manifestations of genitourinary tuberculosis are protean in nature; still tuberculosis is a health concern in South-East Asia region. Tuberculosis of the cervix is rarely found and accounts for 5-10% among all types of genital tuberculosis. Despite meticulous history and clinical examination does not always lead to suspect this disease, the definitive diagnosis is based on the demonstration of the characteristic lesion on histopathology or on bacterial isolation. We are reporting a case of a 26-years-old woman who presented with secondary amenorrhea and a benign looking endocervical polyp. Diagnosis of cervical tuberculosis could be clinched after tissue biopsy which revealed caseous granuloma on histopathological examination along with other supportive laboratory investigation reports. Patient was subsequently started on antitubercular therapy (ATT) according to directly observed treatment schedule- category I, resulting in resumption of her menses after four months of starting of ATT. An awareness of the atypical clinical manifestations of tuberculosis is important, especially in regions where tuberculosis continues to be a major public health problem, such as Bangladesh. One should have high index of suspicion in order to diagnose tuberculosis of cervix in such cases, especially in high prevalence areas, so that patients can be managed appropriately with antitubercular therapy and complications can be prevented.
Keywords: Cervical polyp, Cervical biopsy, Genital tuberculosis, Anti-tubercular therapy
- Associate Professor