Coexistence of tuberculosis and squamous cell carcinoma in the right main bronchus:A case report

作     者：Hui Jiang Ya-Qing Li 

作者机构：Department of Internal MedicineZhejiang Provincial People’s HospitalPeople’s Hospital of Hangzhou Medical CollegeHangzhou 310014Zhejiang ProvinceChina Department of Internal MedicineCancer Hospital of the University of Chinese Academy of Sciences(Zhejiang Cancer Hospital)Hangzhou 310014Zhejiang ProvinceChina 

出 版 物：《World Journal of Clinical Cases》 (世界临床病例杂志)

年 卷 期：2021年第9卷第25期

页      面：7520-7526页

核心收录：

学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 100214[医学-肿瘤学] 10[医学] 

基　　金：National Natural Science Foundation of China No.8187010048 

主　　题：Tumorous endobronchial tuberculosis Bronchial squamous cell cancer Diagnosis Treatment Case report 

摘      要：BACKGROUND Lung cancer with pulmonary tuberculosis(TB)refers to the occurrence of lesions simultaneously or sequentially in the lung(s)of the same patient,and the pathological examination and sputum TB examination diagnose them as lung cancer and TB,*** occurrence of endobronchial TB(EBTB)with endobronchial tumor sequentially in the same bronchus lesion of the same patient is relatively *** SUMMARY A 62-year-old female patient was admitted to a local hospital on June 18,2019 after a 3-mo history of *** was a farmer and had no history of smoking and alcohol *** patient had neither family nor work contact indicating exposure to *** chest computed tomography(CT)examination showed that the right main bronchus was occupied and malignant tumor was *** examination of a bronchial biopsy showed granulomatous inflammation with caseification and the presence of acid fast bacilli(AFB).However,after 6 mo of antitubercular treatment,repeat bronchoscopy and biopsy histological examination showed squamous cell *** patient has started on systemic chemotherapy with *** another two cycles of therapy,chest CT showed complete resolution of the *** lavage and bronchial aspirate were negative for AFB and cancer *** It is not only more likely that a patient presenting with what appears to be TB will concurrently have a pulmonary malignancy than someone who does not have a TB infection,but also that it is of greater urgency to make an expedited diagnosis of the malignancy.