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Gynaecology & Obstetrics General 450140a5

Which among the following is the commonest site of genital tuberculosis in women?

A
Tubes
B
Uterus
C
Cervix
D
Vagina
High-Yield Explanation
Genitourinary tuberculosis is commonly secondary to infection elsewhere in the body, usually pulmonary, but active pulmonary disease can be documented in only one-third of patients. Vascular dissemination is responsible for infection of the fallopian tubes in almost all patients with genital tuberculosis, and involvement of the endometrium follows in 90%. Cervical disease can occur by direct extension or lymphatic spread, occurring in only 1% of cases. Ref: Khachikyan I., Stratton P. (2013). Chapter 40. Benign Disorders of the Uterine Cervix. In A.H. DeCherney, L. Nathan, N. Laufer, A.S. Roman (Eds), CURRENT Diagnosis & Treatment: Obstetrics & Gynecology, 11e.

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