Cervical tuberculosis mimicking carcinoma of the cervix in a patient with long-standing secondary amenorrhea.
Sumanjot Kaur, Priyaranjan Mohanta, Bharti Joshi et al.
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Case in brief
A woman in her 40s with 12 years of secondary amenorrhea presented with postcoital bleeding. Examination showed a cervical growth concerning for carcinoma. Biopsy revealed granulomatous inflammation without malignancy; tissue was positive on Ziehl–Neelsen staining and MGIT. She received standard antitubercular therapy for 6 months, with symptom resolution and interval reduction of the cervical lesion at 6-month follow-up.
What made this case unusual
Cervical tuberculosis presented as a mass resembling cervical carcinoma, while biopsy showed granulomas and no malignancy.
Diagnostic / clinical pearl
For a cervical mass suspicious for carcinoma, include tuberculosis in the differential, particularly in patients from endemic areas, and use tissue evaluation to distinguish infection from malignancy.