Tubercular cervicitis mimicking cervical malignancy: A case report

Cervical tuberculosis is very rare disease, accounts for 0.1- 0.65 % of all cases of tuberculosis. We are reporting case of 23 year old nulligravida lady presented with 4 years history of primary infertility, infrequent menstrual cycles and post coital bleeding. On examination, external genital was normal on inspection. On speculum examination cervix was replaced by irregular fungating growth which bled on touch. Bimanual examination showed normal sized anteverted and mobile uterus. There was slight thickening of left fornix with no palpable adnexal mass or tenderness. Punch biopsy was taken in view of suspected cervical malignancy. Histopathology of cervical biopsy was suggestive of tubercular cervicitis with diffuse areas of ulceration of lining epithelium with acute inflammatory granulation tissue. Deeper sub epithelium showed presence of ill-defined collection of epithelioid cells with occasional langhans type of giant cells. Stain for acid fast bacilli was positive. Anti-tuberculin therapy was given for 9 months.