Tuberculosis of the Cervix Mimicking Carcinoma

This is a rare case of a 35-year-old lady who presented initially to the reproductive clinic for failure to conceive after 5 years and also complained of persistent post-coital bleeding for the past 1 year. A 3-cm exophytic cervical lesion was noted on colposcopy and the impression then was of cervical cancer. Computed tomography (CT) scan of the abdomen showed multiple peritoneal nodules and magnetic resonance imaging (MRI) pelvis showed a 3.4-cm cervical tumor with possible parametrial invasion. Both results were also suggestive of malignancy. Histology, however, returned as caseating granulomatous inflammation compatible with tuberculosis. There was complete resolution of the cervical lesion after 3 months of anti-tuberculosis treatment. Tuberculosis of the cervix is an extremely rare initial presentation of tuberculosis. Hence, there should be a high index of suspicion during colposcopy for tuberculosis when low-risk patients are found to have a cervical lesion. J Med Cases. 2018;9(7):204-206 doi: https://doi.org/10.14740/jmc3074w