tuberculosis and lung cancer
Antequera1, Miguel Arias-Guillen1, Francisco Rodríguez
Jerez1, Gemma Rubinos Cuadrado1, Pablo Martínez Camblor2,
Juan Bautista García Casas3 and Pere Casán Clara4
INS-HUCA, Oviedo, Asturias, Spain, 2Statistical Department, Universidad
de Oviedo, Oviedo, Asturias, Spain, 3Epidemiology Department, Facultad
de Medicina. Universidad de Oviedo, Oviedo, Asturias, Spain,
4Pneumology, INS-HUCA.Facultad de Medicina. Universidad de Oviedo,
Oviedo, Asturias, Spain
cancer could be a risk factor for reactivation of a Mycobacterium
We herein report 10 cases of patients with lung cancer who were
diagnosed with thoracic tuberculosis.
To study the combination, clinical diagnosis and treatment in case of
coexistence of lung cancer and tuberculosis.
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A total of 10 patients diagnosed with lung cancer and tuberculosis.
Main patients were men (09). Most of our patients were diagnosed with
advanced lung cancer in 80% (stage IIIB-stage IV).Carcinoma occurred in
the upper lung zone in 60%. Adenocarcinoma was the most common
histological type (80%).The diagnosis of active tuberculosis was made
by histopathologic study of the lymph nodes in 8 patients and was made
by direct examination of sputum in two patients. The Tuberculosis
treatment was initiated in all patients. The chemotherapy was
prescribed for 8 patients and was initiated with an average delay of 45
days after the start of anti- tuberculosisdrugs.
In the management of lung cancer, we should consider the possibility of
coexistence active pulmonary tuberculosis especially in endemic
tuberculosis countries. This association should not make delays in the
diagnosis and the treatment.
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