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Three in a row: A case series of cervical tuberculosis

Angelynn Santos Sianghio, MD and Elizabeth Espino-Strebel, MD, FPOGS, FSGOP
Department of Obstetrics and Gynecology, San Juan de Dios Educational Foundation, Inc. Hospital

Cases of cervical lesions have been rising steadily in the past decades. From inflammation to carcinogenesis, the cervix is never really spared of disease. In the presence of a cervical mass, malignancy is always a consideration. In this paper, we present three cases of cervical tuberculosis that were diagnosed in a tertiary private hospital in Pasay City. Women in their 3rd and 4th decade of life presenting with post coital spotting, copious vaginal discharge and amenorrhea were examined: The cervix was converted to a nodular friable mass, with extension to the fornices. On rectovaginal exam, both parametria were nodular but free from the pelvic sidewall. The primary consideration was a probable cervical carcinoma stage IIB. On tissue biopsy and further testing, cervical tuberculosis was confirmed. Quadruple anti-Koch’s therapy was initiated, to which clearing of the cervix with decrease discharge was noted.