Archives of Gynecology and Obstetrics

, Volume 269, Issue 3, pp 221–223

Postmenopausal bleeding: squamous cell carcinoma of cervix with coexisting endometrial tuberculosis

  • Shalini Rajaram
  • Geeta Dev
  • Nirupma Panikar
  • Kishor Chandra Singh
  • Neerja Goel
Case Report

DOI: 10.1007/s00404-003-0558-x

Cite this article as:
Rajaram, S., Dev, G., Panikar, N. et al. Arch Gynecol Obstet (2004) 269: 221. doi:10.1007/s00404-003-0558-x

Abstract

Case report

A case of squamous cell carcinoma of cervix co-existent with endometrial tuberculosis presenting as postmenopausal bleeding is being reported for its rarity. The atrophic postmenopausal endometrium is thought to be poorly supportive of tubercle bacilli. Following a radical Wertheim’s hysterectomy patient had a hectic postoperative period, which responded to antitubercular treatment. Diagnosis of tuberculosis in this case was made on histopathology postoperatively and confirmed by polymerase chain reaction (PCR) on scrapes from the granulomas obtained by microdissection.

Conclusion

Tuberculosis complicating malignant disease may occur in regions with a high prevalence of disease; with a resurgence of tuberculosis worldwide this association may not be uncommon. The diagnosis and treatment of tuberculosis in a patient with cancer assumes importance as a high mortality has been seen in patients with co-existent disease.

Keywords

Squamous cell carcinoma cervixEndometrial tuberculosisPostmenopausal bleedingPolymerase chain reaction for Mycobacterium tuberculosis

Copyright information

© Springer-Verlag 2004

Authors and Affiliations

  • Shalini Rajaram
    • 1
  • Geeta Dev
    • 2
  • Nirupma Panikar
    • 2
  • Kishor Chandra Singh
    • 1
  • Neerja Goel
    • 1
  1. 1.Department of Obstetrics and GynecologyUniversity College of Medical Sciences and Guru Teg Bahadur HospitalShahdara, DelhiIndia
  2. 2.Department of PathologyUniversity College of Medical Sciences and Guru Teg Bahadur HospitalShahdara, DelhiIndia