Female genital system tuberculosis: a retrospective clinicopathological study of 1,548 cases in Turkish women

• Published in: Archives of gynecology and obstetrics Vol. 286; no. 2; pp. 379 - 384
• Main Authors: Türkmen, İlknur Çetinaslan, Başsüllü, Nuray, Çomunoğlu, Cem, Bağcı, Pelin, Aydın, Övgü, Çomunoğlu, Nil, Gezer, Altay, Calay, Zerrin, İlvan, Şennur
• Format: Journal Article
• Language: English
• Published: Berlin/Heidelberg Springer-Verlag 01-08-2012; Springer Nature B.V
• Subjects: Adolescent; Adult; Aged; Aged, 80 and over; Carcinoma - epidemiology; Carcinoma - pathology; Comorbidity; Endocrinology; Fallopian Tube Diseases - epidemiology; Fallopian Tube Diseases - microbiology; Fallopian Tube Diseases - pathology; Female; General Gynecology; Gynecology; Human Genetics; Humans; Incidence; Infertility; Infertility, Female - epidemiology; Infertility, Female - microbiology; Infertility, Female - pathology; Medicine; Medicine & Public Health; Middle Aged; Obstetrics/Perinatology/Midwifery; Peritonitis, Tuberculous - epidemiology; Peritonitis, Tuberculous - pathology; Prevalence; Retrospective Studies; Tuberculosis; Tuberculosis, Female Genital - epidemiology; Tuberculosis, Female Genital - pathology; Tuberculosis, Lymph Node - epidemiology; Tuberculosis, Lymph Node - pathology; Turkey - epidemiology; Uterine Diseases - epidemiology; Uterine Diseases - microbiology; Uterine Diseases - pathology; Young Adult; Turkey; Tuberculosis; Epidemiology; Infertility; Female genital tract; Female genital
• ISSN: 0932-0067; 1432-0711
• DOI: 10.1007/s00404-012-2281-y

Purpose
The incidence of tuberculosis (TB) has increased worldwide in the past decade and it still remains an important global public health problem.
Method
A retrospective clinicopathological study of 1,548 cases of female genital tuberculosis between 1940 and 2011 was conducted.
Results
The mean age of the cases was 29.49 years. Involvement of the endometrium was noted in 1,073, fallopian tubes in 164, cervix in 157, and 154 had multiple organ involvement. Clinically, 115 cases (7.4%) were diagnosed as having primary infertility and 12 cases (0.8%) as having secondary infertility. There was a coexistent carcinoma in 1.5% of the cases. Peritoneal tuberculosis in 21 cases and tuberculous lymphadenitis in 7 cases were seen as well.
Conclusion
The clinicopathological criteria of female genital tuberculosis in the different organs are described, and special attention is paid to infertility associated with tuberculous lesion, and awareness of the fact that the disease is still with us is thus particularly important.