Respir Case Rep. 2016; 5(3): 217-219 | DOI: 10.5505/respircase.2016.84755

Pulmonary tuberculosis mimicking lung cancer metastases: a case report

Beyhan Çakar
Ankara Tuberculosis Control Dispensary No 7

Pulmonary tuberculosis (PTB) and lung cancer may mimic each other in the aspect of the clinical and radiological features, particularly. Early diagnosis and treatment is of utmost importance for improved survival in these patients. Herein, we present a 59 year–old case diagnosed with PTB, while being considered lung cancer metastases. In our case, PTB in the left lung and lung cancer (large cell neuroendocrine carcinoma) in the right lung were found simultaneously. After our case with sputum smear negative completed tuberculosis therapy, his daughter who had symptoms of cough and sputum was diagnosed with smear positive pulmonary tuberculosis. In smear AFB negative pulmonary tuberculosis cases, contact screen is important for early TB diagnosis. The local immunity is deteriorated in cancer cases, if there is pneumonic infiltration in lung, excluding metastatic lesions and other infections; therefore, we must search tuberculosis too.

Keywords: Coexistent, cancer metastases, contact screen, lung cancer, pulmoner tuberculosis

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Akciðer Kanser Metastazýný Taklit Eden Akciðer Tüberkülozu: Olgu sunumu

Beyhan Çakar
Ankara 7 Nolu Verem Savaþ Dispanseri

Akciðer tüberkülozu ve akciðer kanseri klinik radyolojik özellikleri nedeniyle birbirlerini taklit ederler. Erken teþhis ve tedavi bu hastalarýn yaþam süresini uzamasýnda önemlidir. Çalýþmamýzda, 59 yaþýnda akciðer kanser metastazý düþünülen akciðer tüberkülozu tanýsý alan hastayý sunduk. Olgumuzda sol akciðerde tüberküloz, sað akciðerde akciðer kanseri (büyük hücreli nöroendokrin karsinom) ayný anda görüldü. Balgam yayma negatif akciðer tüberkülozlu olgumuz tedavisini tamamladýktan sonra öksürük ve balgam çýkarma þikayetleri olan kýzýnýn balgam yaymasýnda asit alkole rezistans basil (ARB) tespit edildi. Yayma negatif tüberküloz olgularýn temaslý taramasý önemlidir. Kanserli olgularda yerel immünite bozulduðundan akciðerde pnömonik infiltrasyon varlýðýnda metastaz ve diðer infeksiyon hastalýklarý dýþýnda tüberkülozda araþtýrmalýdýr.

Anahtar Kelimeler: Birlikte görülme, Kanser matastazý, Temaslý taramasý, Akciðer kanseri, Akciðer tüberkülozu

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