Concomitant tuberculosis and lung cancer diagnosed by bronchoscopy

Autor: C Morales-García, A E Delgado-Martín, J Hernández-Quero, J Parra-Ruiz, J A Sánchez-Martínez, A Amzouz-Amzouz
Rok vydání: 2015
Předmět:
Zdroj: The International Journal of Tuberculosis and Lung Disease. 19:1027-1032
ISSN: 1815-7920
1027-3719
DOI: 10.5588/ijtld.14.0578
Popis: Setting South Granada Health Area (SGHA), Spain. Objective To describe the characteristics of concomitant tuberculosis (TB) and lung cancer cases. Design A total of 319 TB cases diagnosed between January 2003 and December 2010 were evaluated and identified using a prospective database. During this period, samples of bronchial secretions were obtained from all patients who underwent fibreoptic bronchoscopy (FBS) as part of a TB screening programme. A descriptive study was conducted. Results Concomitant TB and lung cancer were diagnosed in 15 cases (4.7% of total TB cases). The most common radiographic finding was atelectasis (53.3%), and the most common histological type was epidermoid carcinoma (60%). Lung cancer stage was advanced (III-IV) in 60% of the cases. Conclusion The association between TB and lung cancer found in the SGHA after implementing a TB screening programme was higher than in other studies. This suggests that it would be advisable to perform acid-fast bacilli smear and mycobacterial culture of bronchial aspirates in all patients with presumed lung cancer, particularly in high TB prevalence areas.
Databáze: OpenAIRE