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Speculum examination |
After normal saline |
After normal saline with green filter |
After acetic acid |
Examination with endocervical speculum |
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Nil or transparent | Thin, milky | Distinct, stearin | |
Nil or diffuse | Sharp but irregular, jagged, satellites | Sharp and even, difference in level | |
Fine, regular | Absent | Coarse or atypical vessels | |
< 5 mm | 5-15 mm or 2 quadrants | >15 mm, 3-4 quadrants, or endocervically undefined | |
Brown | Faintly or patchy yellow | Distinctly yellow |
Provisional diagnosis: | Tuberculosis ulcer of cervix healed. |
Management: | Routine screening after 5 years. |
Histopathology: | Normal. |
Comment: | Tuberculosis of the cervix is rare and accounts for 0.1–0.6% of all cases of tuberculosis. Treatment with a four-drug regime for 6 months is highly effective. The cervix has been reported to regain normal appearance with 4 weeks of starting treatment. [Click here to see the colposcopy images before anti-TB treatment ]. |
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