Abstract
Genital tuberculosis (TB) in females is a chronic disease with low-grade symptoms. It commonly occurs secondary to extragenital TB and rarely occurs primarily by inoculation from male partners. Owing to its rarity and variability of clinical presentation, along with its ability to mimic many other common conditions, its clinical diagnosis poses a challenge for practitioners. Histopathological examination plays a pivotal role in diagnosing such cases. One such rare case of TB, reveling in the vulva, masquerading as a tumor is presented here.