Pulmonary tuberculosis as differential diagnosis of lung cancer

Bhatt, M L B; Kant, Surya; Bhaskar, Ravi

doi:10.4103/2278-330x.96507

Cited by 97 publications

(96 citation statements)

References 23 publications

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“…ELISA for TB cannot be recommended for distinguishing it from Lung cancer. 6 PET is useful in search for an unknown primary in patients who present with malignant neck disease with extremely variable reports ranging from 14-50%. 7,8 Bronchoscopy appeared to be most useful test at that time.…”

Section: Discussionmentioning

confidence: 99%

Metastatic neck node: a straying journey to diagnosis

Galagali¹,

Singh

2018

Int J Otorhinolaryngol Head Neck Surg

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<p class="abstract">Squamous cell carcinoma of lung is most commonly associated with smoking. Its metastasis to contralateral neck node as the first presenting symptom is very rare. Tuberculosis (TB) and cancer of lung have causal relationship. There may also be coexistence of another neoplasm around the time of diagnosis of primary neoplasm. We present a case report of an 80 years old man who presented with a contralateral metastatic neck node. He was diagnosed to have coexistent lung cancer and pulmonary TB. In this journey towards diagnosis, the findings suggestive of tubercular larynx might have been a sequel of pulmonary TB.</p>

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Section: Discussionmentioning

confidence: 99%

Metastatic neck node: a straying journey to diagnosis

Galagali¹,

Singh

2018

Int J Otorhinolaryngol Head Neck Surg

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“…Tüberkülozun endemik olduğu bölge-lerde, hastalara biyopsi yapmadan tüberküloz olarak takip etmek yanlış tedaviye ve akciğer kanseri tanısında gecikmeye yol açabilir [6]. Yakın zamanda yayınlanan akciğer kanseri ile pulmoner tüberkülo-zun karıştığı durumları değerlendiren bir çalışmada nodül büyüdükçe ve sınırları düzensiz oldukça tü-mör olasılığının arttığı belirtilmiş, ancak malign nodüllerin %20 kadarında da sınırların düzgün olaca-ğı vurgulanmıştır [7]. Aynı çalışmada, nodül içinde yağ ve kalsifikasyon dışında izlenen herhangi bir içyapı morfolojisinin akciğer kanseri ayrımında kullanılamayacağı belirtilmiş, kavitasyonun hem tüber-külozda hem de akciğer kanserinde görülebileceği vurgulanmıştır.…”

Section: Discussionunclassified

Mass mimicking tuberculosis cases diagnosed postoperatively

Meteroğlu

Abakay²,

Monis³

et al. 2014

J Clin Exp Invest

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Tuberculosis is a disease that occurs with different radiological manifestations. Although not frequent, tuberculosis cases seen as pulmonary masses have been reported in the literature. It is difficult to diagnose pulmonary tuberculosis definitely and to rule out a tumor in patients presenting with image of a pulmonary mass. In this paper, we discussed difficulties in diagnosis of two patients, aged 42 and 65 years, who admitted with a mass image on their chest x-rays to our clinic. Positron emission tomography images were taken following computerized tomography. Acid fast bacteria, bronchoalveolar lavage and bronchoscopic biopsies were not diagnostic. Therefore, surgery was used to establish the diagnosis. In the first patient, lobectomy was carried out with wedge resection due to peroperative suspected malignancy report of frozen section. Definitive report, however, yielded tuberculosis. Both patients received antituberculosis treatment and both were well at routine follow up examinations. Tuberculosis should be kept in mind when a mass is encountered in an endemic area such as our country. J Clin Exp Invest 2014; 5 (3): 462-465

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“…They are characterized by the occurrence of cough, fatigue, hemoptysis, weight loss, and anorexia [10]. The clinical and radiographic manifestations are similar, but the treatment and prognosis differ significantly.…”

Section: Introductionmentioning

confidence: 92%

“…The occurrence of the following lesions on CT scans may indicate tuberculosis: parenchymal disease, lymphadenopathy, multilobar infiltration in the upper parts of the lungs, caverns and pleural effusion [2,10,11]. Lung cancer is accompanied by the occurrence of peripheral nodular shadows and subpleural consolidation with irregular margins of thin-walled cavities and an elevation of the diaphragm [11,12,13].…”

Section: Discussionmentioning

confidence: 99%

Radiology and Ct Scan Findings in Patients With Simultaneous Occurrence of Tuberculosis and Lung Cancer

Markovic¹,

Petrović²,

Radojević³

et al. 2017

RadJ

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Abstract. Simultaneous occurrence of lung cancer and pulmonary tuberculosis, as a significant cause of morbidity and mortality, appears in 0.7% of cases. The mechanisms of interaction between them are not fully clarified. We present a patient who, during the treatment of lung adenocarcinoma, developed pulmonary tuberculosis and, owing to a correct diagnosis, was provided with appropriate treatment. We analyzed the CT and radiographic findings during the follow-up of the patient and discussed the problems and doubts about the diagnosis of simultaneous occurrence of lung cancer and pulmonary tuberculosis. Differential diagnosis between tuberculosis and lung cancer is difficult and can pose a real clinical challenge due to the very similar symptomatology involving fever, malaise, sweating, and loss of body weight. Imaging methods routinely used in clinics, such as RTG, CT, and PET-CT, are of great help in such cases. The existence of the TB infection makes it difficult to adequately determine the nodal status in patients with lung cancer. The newly established lymph nodes may not only be the occurrence of tumors, but also already active tuberculosis or the progression of TB infection. Only the correct diagnosis can lead to successful treatment as described in this case.

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Pulmonary tuberculosis as differential diagnosis of lung cancer

Cited by 97 publications

References 23 publications

Metastatic neck node: a straying journey to diagnosis

Metastatic neck node: a straying journey to diagnosis

Mass mimicking tuberculosis cases diagnosed postoperatively

Radiology and Ct Scan Findings in Patients With Simultaneous Occurrence of Tuberculosis and Lung Cancer

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