Dilemma in Diagnosing Cervical Tuberculosis

ABSTRACT

Genital tuberculosis in females is found in 0.75 to 1% of gynecological admissions in India with considerable variation from place to place. Tuberculosis (TB) can affect any organ in the body (exceptions being skeletal muscle, cardiac muscles, pancreas) can exist without any clinical manifestation and can recur. The disease is almost always secondary to primary pulmonary TB, responsible for 5% of all female pelvic infections and occurs in 10% cases of pulmonary tuberculosis. Female genital tuberculosis (FGTB) is typically understood as a disease of young women, especially in developing countries, with 80-90% of cases diagnosed in patients 20–40 years old, often during workup for infertility. The disease has been reported in postmenopausal females as well. We are here presenting two rare case reports of cervical tuberculosis misdiagnosed as carcinoma cervix.