A case of coexistent bronchogenic carcinoma with pulmonary tuberculosis.
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- SAKAI Tadaaki
- Department of Surgery, Tokyo Metropolitan Komagome Hospital
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- IKEDA Takaaki
- Department of Surgery, Tokyo Metropolitan Komagome Hospital
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- NISHIMURA Yoshihiro
- Department of Surgery, Tokyo Metropolitan Komagome Hospital
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- HORINOUCHI Hirohisa
- Department of Surgery, Tokyo Metropolitan Komagome Hospital
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- KUDO Shoji
- Department of Surgery, Tokyo Metropolitan Komagome Hospital
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- HIRAYAMA Masakiyo
- Department of Surgery, Tokyo Metropolitan Komagome Hospital
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- FUKAYAMA Masashi
- Department of Surgery, Tokyo Metropolitan Komagome Hospital
Bibliographic Information
- Other Title
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- 活動性結核病巣局所に併存した肺癌の１例
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Abstract
A 79-year-old housewife complaining of shortness of breath presented with a LUL mass lesion on chest roentgenogram. Bronchofiberscopic biopsy and curettage revealed adenocarcinoma as well as acid-fast bacilli of Gaffky-4. Further investigations showed increased ESR, CRP levels and positive RF. PPD skin test was positive measuring 557times;43mm. A left upper lobectomy with mediastinal lymphnode dissection was performed. The mass was in S1+2 and measured 2.7×2.5×1.5cm. Histologically caseaous necroses and spotted granulomas of tuberculosis were surrounded by bronchioloalveolar cell carcinoma. Recent discussion concerning the simultaneous occurrence of pulmonary tuberculosis and bronchogenic carcinoma suggests a higher coexistence of both diseases. However, the coexistence of active tuberculosis with carcinoma in the same region, as in our case, is quite rare and suggests an etiological closer relationship between both diseases.
Journal
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- Kekkaku(Tuberculosis)
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Kekkaku(Tuberculosis) 67 (5), 409-412, 1992
JAPANESE SOCIETY FOR TUBERCULOSIS