Respir Case Rep. 2013; 2(1): 27-31 | DOI: 10.5505/respircase.2013.66376

Akciðerde Solid Kitle Görünümü Veren Tüberküloz Olgusu

Sinem Nedime Sökücü¹, Levent Dalar¹, Cengiz Özdemir¹, Songül Büyükkale², Ayþegül Akbaþ¹, Sedat Altýn^1
1Yedikule Göðüs Hastalýklarý Ve Göðüs Cerrahisi Eðitim Ve Araþtýrma Hastanesi, Göðüs Hastalýklarý
²Yedikule Göðüs Hastalýklarý Ve Göðüs Cerrahisi Eðitim Ve Araþtýrma Hastanesi, Göðüs Cerrahisi

Tüberküloz farklý radyolojik görünümlerle ortaya çýkabilen bir hastalýktýr. Sýk olmamakla birlikte kitle görünümünde akciðer tüberkülozu olgularý literatürde mevcuttur. Kitle görünümü ile baþvuran hastalarda tüberküloz tanýsýndan emin olmak ve eþlik eden tümör tanýsýný kesin dýþlamak bazen zor olmaktadýr. Bu yazýda, kliniðimize akciðer grafisinde kitle görünümü ile baþvuran, ailesinde akciðer kanseri öyküsü olan ve sigara içen (25 paket/yýl) 45 yaþýnda erkek hastada taný ve takipte yaþanan güçlükler tartýþýldý. Ülkemiz gibi her iki klinik durumun da sýk görüldüðü toplumlarda ayýrýcý tanýnýn içerdiði güçlükler vurgulanmak istendi.

Anahtar Kelimeler: Akciðer kanseri, tüberküloz, kitle.

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Tuberculosis Case Presented with a Solid Mass Lesion in the Lung

Sinem Nedime Sökücü¹, Levent Dalar¹, Cengiz Özdemir¹, Songül Büyükkale², Ayþegül Akbaþ¹, Sedat Altýn^1
1Yedikule Chest Disease And Thoracic Surgery Training And Research Hospital, Pulmonology
²Yedikule Chest Disease And Thoracic Surgery Training And Research Hospital, Thoracic Surgery

Tuberculosis can be presented with different radiological forms. Mass lesion with the diagnosis of pulmonary tuberculosis is not rare in literature. Sometimes it is challenging to be sure of the diagnosis of tuberculosis and excludes coexisting cancer in a patient presented with mass lesion. In this paper diagnostic difficulties and follow up of a 45 years old male patient with a family history of lung cancer and a smoking history (25 packs/years) who was presented with a mass lesion on his chest radiography is discussed with review of literature. We would like to emphasize the difficulties of differential diagnosis in communities in which both of the clinical situations were common.

Keywords: Lung cancer, tuberculosis, mass.

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