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

A. G. Naumov, Наумов Алексей Георгиевич, A. Pavlunin, Павлунин Александр Васильевич, A. Golova, Голова Анастасия Юрьевна, N. Nikolskaya, Никольская Надежда Алексеевна, K. V. Mansurskaya, Мансурская Ксения Валерьевна, O. Samarina, Самарина Ольга Евгеньевна
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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.
中心型肺癌合并浸润性肺结核1例
结合结核过程和肺癌的科学挑战尚未完全披露在现代文献。这主要涉及这两种病理同时发生的低发生率。这可能造成对这些疾病进行定性和及时诊断的困难。结核病长期“隐藏”恶性肿瘤的放射学表现,导致其发展和患者死亡率高。肺癌促进了一种特定病原体的血液和淋巴性扩散。本文介绍了下诺夫哥罗德地区临床结核病药房呼吸道结核病患者科收治的一例肺结核和肺癌同时发生的临床病例。我们得出结论,当患者进入一般医疗网络时,遵守强制诊断最低限度算法,以及遵守人群筛查规则,特别是在45岁以上的人群中,将最大限度地降低呼吸道结核病和肺癌共存的延迟诊断风险。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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