Granuloma venereum is endemic in Zambia but there are no previous reports of the disease from this geographical area. Six cases of granuloma venereum in African females were discovered on biopsy specimens. One unusual case with primary cervical involvement simulating carcinoma of the cervix is presented. This case illustrates the difficulties of diagnosis and the ease with which it may be mistaken for malignancy in the absence of histological confirmation.
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