Cervical tuberculosis in a postmenopausal patient


Authors: Prokešová N. 1;  Valha P. 1;  Velemínský M. 1;  Vítková P. 2;  Stehlíková A. 2
Authors‘ workplace: Gynekologicko-porodnické oddělení, Nemocnice České Budějovice, a. s. 1;  Patologické oddělení, Nemocnice České Budějovice, a. s. 2
Published in: Ceska Gynekol 2021; 86(6): 392-396
Category: Case Report
doi: 10.48095/cccg2021392

Overview

Objective: Description of a case of extrapulmonary genital tuberculosis of the uterine cervix in a postmenopausal patient. Case report: A 66-year-old patient with a history of metrorrhagia, an ulcerated process in the area of the uterine cervix and vagina, with infiltration of parametria, serosanguinolent discharge and progressive cachectization was admitted to the oncogynecological center of the Hospital of České Budějovice, a. s. As part of the dia­gnostics, physical examination, colposcopy, targeted bio­psy, polymerase chain reaction (PCR) and microbio­logical examination, oncogynecological ultrasound and CT examination were performed. Clinically, the lesion acted as an advanced tumor. However, no malignant cells were detected in the bio­psy and the histopathological finding corresponded to a granulomatous inflammatory condition with giant cell histiocytic elements. Bacterial DNA of Mycobacterium tuberculosis complex was detected by PCR testing. The patient underwent controlled antituberculosis treatment with regular gynecological examinations. Conclusion: Tuberculosis of the uterine cervix occurs rarely. Its clinical manifestation may mimic the tumor process. Dia­gnosis is based on the identification of the causative agent and treatment consists of long-term controlled administration of antituberculotics, and in rare cases, combination with surgical  treatment.

Keywords:

extrapulmonar tuberculosis – genital tuberculosis – uterine cervix – Mycobacterium tuberculosis complex


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Labels
Paediatric gynaecology Gynaecology and obstetrics Reproduction medicine
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