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Difficulty in Diagnosis and Tumor Staging in Coexisting Lung Cancer and Pulmonary Tuberculosis: A Case Report

肺癌病灶同時合併肺結核感染致困難診斷與腫瘤分期-病例報告

摘要


肺部腫塊或結節於臨床上首要排除惡性腫瘤。然而,慢性感染或發炎,如結核病,可同時存在於肺部甚至同一結節病灶,並影響淋巴結反應,從而導致分期診斷的困難,而影響後續治療方向。在本文中我們報告一位73歲男性,因結核菌感染與肺癌同時存在於單一肺部結節並影響淋巴結反應性增生,從而影響組織切片與影像診斷的結果,導致腫瘤分期困難,最終以手術切除才獲得正確之診斷與治療。

關鍵字

肺癌 肺結核 切片

並列摘要


A solitary pulmonary mass is a common presentation of lung cancer. However, other inflammatory or infectious diseases, such as pulmonary tuberculosis (TB), also present similar imaging characteristics and may coexist with lung cancer. This makes the diagnosis and identifying the correct tumor stage difficult for physicians. Herein we present the case of a patient with coexisting lung squamous cell carcinoma and active pulmonary TB infection, which presented a solitary pulmonary mass. Tissue biopsy was performed twice via different approaches. However, imaging studies could not confirm the diagnosis and tumor stage, which were finally established after surgical intervention.

並列關鍵字

pulmonary tuberculosis lung cancer biopsy

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