Multiple Pulmonary Nodules: A Diagnostic Dilemma in an Endemic Area for Tuberculosis

Translated Titles





郭耀文(Yao-Wen Kuo);王鶴健(Hao-Chien Wang);余忠仁(Chong-Jen Yu)

Key Words

多發肺結節 ; 肺結核 ; 肺腺癌 ; multiple pulmonary nodules ; pulmonary tuberculosis ; adenocarcinoma of lung



Volume or Term/Year and Month of Publication

24卷6期(2009 / 12 / 01)

Page #

315 - 319

Content Language


Chinese Abstract


English Abstract

In Taiwan, which is an endemic area for tuberculosis, coexisting pulmonary tuberculosis and lung cancer may pose both a diagnostic and a treatment challenge to the clinician. We present the case of a 60-year-old female with multiple pulmonary nodules. The initial diagnosis of pulmonary tuberculosis was made by the pathological finding of a left lower lung nodule. The initial treatment response was fair, before a 3-month gap in follow-up. However, miliary carcinomatosis developed later and tissue proof of a right lower lung nodule revealed adenocarcinoma. When encountering a patient with multiple pulmonary nodules in an endemic area for tuberculosis, the possibility of a coexisting etiology other than tuberculosis should always be kept in mind; close monitoring of the treatment response is mandatory.

Topic Category 醫藥衛生 > 內科