A clinical case of central cancer of the lung and infiltrative tuberculosis

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Abstract


The scientific challenge of combining the tuberculosis process and lung cancer has not been fully disclosed in mo­dern literature. This primarily involves the low incidence of these two pathologies at the same time. This may contribute to difficulties in the qualitative and timely diagnosis of these diseases. Tuberculosis “hides” the radiological manifestations of a malignant tumor for a long time that contributing to its progression and the development of high mortality among patients. Lung cancer facilitates hemato- and lymphogenous spread of a specific pathogen. As an example, a clinical case of simultaneous occurrence of pulmonary tuberculosis and lung cancer which was observed in the patient admitted to the Department for patients with respiratory tuberculosis of Nizhny Novgorod regional clinical tuberculosis dispensary, was presented. We concluded that compliance with the algorithm of the mandatory diagnostic minimum when patients admitted to the general healthcare network, as well as compliance with the rules for population screening, especially among people over 45, will minimize the risks of delayed diagnosis in case of coexistence of respiratory tuberculosis and lung cancer.


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About the authors

A G Naumov

Privolzhsky Research Medical University

Author for correspondence.
Email: naumovag@pimunn.ru

Russian Federation, Nizhny Novgorod, Russia

A V Pavlunin

Privolzhsky Research Medical University

Email: naumovag@pimunn.ru

Russian Federation, Nizhny Novgorod Russia

A Yu Golova

Privolzhsky Research Medical University

Email: naumovag@pimunn.ru

Russian Federation, Nizhny Novgorod Russia

N A Nikolskaya

Privolzhsky Research Medical University

Email: naumovag@pimunn.ru

Russian Federation, Nizhny Novgorod Russia

K V Mansurskaya

Privolzhsky Research Medical University

Email: naumovag@pimunn.ru

Russian Federation, Nizhny Novgorod Russia

O E Samarina

Privolzhsky Research Medical University

Email: naumovag@pimunn.ru

Russian Federation, Nizhny Novgorod, Russia

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Supplementary files

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1.
Рис. 1. Мультиспиральная компьютерная томограмма органов грудной клетки. Снимки пациента от 01.06.2019: деструкция лёгочной паренхимы в нижней доле правого лёгкого

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Рис. 2. Мультиспиральная компьютерная томограмма органов грудной клетки. Снимки пациента от 01.06.2019: лимфаденопатия средостения

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© 2020 Naumov A.G., Pavlunin A.V., Golova A.Y., Nikolskaya N.A., Mansurskaya K.V., Samarina O.E.

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