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Scholars International Journal of Obstetrics and Gynecology (SIJOG)
Volume-2 | Issue-07 | 202-204
Case Report
Pseudotumoral Tuberculosis of the Cervix: Diagnosis and Treatment - About One Rare Case
Meryem Belmajdoub, Hind Adadi, Moulay Abdelilah Melhouf, Fatima Zouhra Fdili Alaoui, Sofia Jayi, Hekmet Chaara
Published : July 30, 2019
DOI : 10.36348/sijog.2019.v02i07.009
Abstract
Cervical tuberculosis is a rare pathology, which can clinically mimick cervical cancer. Patients are paucisymptomatic and the disease is characterized by an insidious evolution, hence the delay in diagnosis. Common symptoms are non-specific contributing to therapeutic delay. The biopsy re-establishes the right diagnosis. The treatment is medical. The prognosis is primarily the infertility which is perhaps inevitable due to frequent associated general genital tuberculosis. We report a case of tuberculosis of the cervix whose diagnosis given first wasn't obvious. Indeed, a patient was referred to our training for suspicion of cervical cancer. Suspected diagnosis of cancer was then retained based on the presence of vaginal bleeding on contact. Biopsy was indicated in order to confirm the diagnosis histologically. Anatomo-pathological examination objectified epitheliogigantocellular granuloma with caseous necrosis, supporting cervical tuberculosis. The patient received TB treatment which led to healing. Diagnosis and treatment of tuberculosis of the cervix is often based on presumptive elements, hence the importance of anatomo-pathological examination
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