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Primary tuberculosis of the uterine cervix: keep it in mind
Vincenzo Dario Mandato1, Franco Sacchetti, Luigi Costagliola
1Department of Obstetrics and Gynecology, Arcispedale S. Maria Nuova di Reggio Emilia - IRCCS, University of Modena and Reggio Emilia, Italy.
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.
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