[Coexistence of bronchogenic carcinoma and active pulmonary tuberculosis].
We describe 9 patients with coincident active tuberculosis of the lung and bronchogenic carcinoma who were all diagnosed within a 5-year period. All were men, with a mean age of 55 +/- 10 years. The principal symptom was toxic syndrome lasting 1-3 months and the most common X-ray sign was alveolar consolidation. Analysis of tissue samples revealed squamous carcinoma (4 cases), adenocarcinoma (4 cases, one of which was bronchioloalveolar) and non-small cell carcinoma (1 case). Tumoral stage was often advanced: IV (44%) and III (33%). The tuberculosis bacillus was isolated in sputum (100%) and in bronchial aspirate (50%); no in vitro resistance was observed. Three patients were treated with radical surgery and three with radiotherapy. Average survival was 3 months in this series.
Martínez Moragón
E
E
Servicio de Neumología, Hospital Universitario La Fe, Valencia.
Aparicio Urtasun
J
J
Cordero Rodríguez
P
P
Sanchís Aldás
J
J
León Fábregas
M
M
Perpiñá Tordera
M
M
D000230:Adenocarcinoma / Q000150:complications; D002282:Adenocarcinoma, Bronchiolo-Alveolar / Q000150:complications; D000328:Adult; D000368:Aged; D002283:Carcinoma, Bronchogenic / Q000150:complications* / Q000000981:diagnostic imaging; D018287:Carcinoma, Large Cell / Q000150:complications; D002294:Carcinoma, Squamous Cell / Q000150:complications; D005500:Follow-Up Studies; D006801:Humans; D008175:Lung Neoplasms / Q000150:complications* / Q000000981:diagnostic imaging / Q000401:mortality; D008297:Male; D008875:Middle Aged; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D014397:Tuberculosis, Pulmonary / Q000150:complications* / Q000000981:diagnostic imaging / Q000401:mortality
Coexistencia de carcinoma broncogénico y tuberculosis pulmonar activa.