Cavitary Lung Disease: Not Always due to Tuberculosis – coexistence of lung cancer and pulmonary tuberculosis A Case Report from India
Journal Title: International Journal of Scientific Research and Management - Year 2015, Vol 3, Issue 7
Abstract
Pulmonary Tu berculosis is the leading cause of cavitary lung disease globally. Although clinicalscenario of majority of the disorders causing cavitation and hemoptysis are overlapping, special emphasisshould be given on smoking history and concomitant clubbing especia lly in elderly population. CT thoraxwill differentiate probability of malignancy as cause of cavity by delineating its pericavitary nodularity,irregular wall, thickness and size. Bronchoscopy is must in all the cases, will help to confirm the diagnosisand ruling out underlying malignancy. Squamous cell carcinoma is known to cause cavitation and the onlyhistological lung cancer type causing such radiological abnormality. In this case report we described aelderly male patient presented with persistent intermi ttent hemoptysis with chest pain and clubbing onclinical evaluation. Initially diagnosed as a case of smear positive pulmonary tuberculosis finally weconfirmed as Primary Lung cancer of Squamous cell origin. High index of suspicion is must in such cases,wi th bronchoscopy and cytopathology expertise in lung histopathology will be crucial in confirmingdiagnosis
Authors and Affiliations
Soni Laxman Kumar
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