Pseudotumoral Tuberculosis of the Cervix: A Case Report
M. Sow *
Internal Medecine Department of University Teaching Hospital Le Dantec of Dakar, Senegal.
M. A. Ndour
Internal Medecine Department of Hospital Abbas Ndao of Dakar, Senegal.
A. M. Gaye
Anatomopathological Department of University Teaching Hospital Le Dantec of Dakar, Senegal.
A. Faye
Internal Medecine Department of University Teaching Hospital Le Dantec of Dakar, Senegal.
M. Dieng
Internal Medecine Department of University Teaching Hospital Le Dantec of Dakar, Senegal.
N. Diagne
Internal Medecine Department of University Teaching Hospital Le Dantec of Dakar, Senegal.
A. C. Ndao
Internal Medecine Department of University Teaching Hospital Le Dantec of Dakar, Senegal.
B. S. Kane
Internal Medecine Department of University Teaching Hospital Le Dantec of Dakar, Senegal.
B. Djiba
Internal Medecine Department of University Teaching Hospital Le Dantec of Dakar, Senegal.
A. Pouye
Internal Medecine Department of University Teaching Hospital Le Dantec of Dakar, Senegal.
*Author to whom correspondence should be addressed.
Abstract
Aim: We aimed to present a rare case of pseudotumoral tuberculosis of the cervix.
Introduction: Tuberculosis has many localizations. Urogenital and particularly cervical involvement is rare.
Case Presentation: Our observation concerned a case of pseudotumoral tuberculosis of the uterine cervix simulating a cancer. The clinical signs were pelvic pain and metrorrhagia, which were non-specific. The ulcerative-bourgeons appearance of the cervix was suggestive of cancer. Histology allowed the diagnosis to be made by showing an inflammatory granuloma and the absence of malignant cells. Despite the absence of bacteriological evidence, the clinical, biological, and histological presumptive arguments and the good therapeutic response made it possible to correct the diagnosis. The prognosis of our patient was mainly functional due to the risk of infertility.
Conclusion: The interest of this observation lay in the rarity of this tuberculosis localization, especially in an immunocompetent subject, and the predominant place of histology.
Keywords: Pseudotumor, cervix, tuberculosis