[A case of primary lung cancer with cervical tuberculous lymphadenitis].
A 66-year-old woman was admitted due to right cervical lymphadenopathy and an abnormal chest radiograph. Acid-fast bacilli smear of fine needle aspiration from a right cervical lymph node was positive. Histopathological examination of the specimen obtained by percutaneous right cervical lymph node biopsy showed necrotizing epithelioid granulomas and no malignant cells. Therefore, right cervical tuberculous lymphadenitis was diagnosed. Partial lung resection of the right S4 was carried out by video-assisted thoracoscopic surgery and primary lung cancer was diagnosed. To our knowledge, there has been no previous report of both primary lung cancer and cervical tuberculous lymphadenitis being present at the time of the first examination. We report this very rare case.
Yamada
Syusai
S
Division of Respiratory Medicine, Department of Internal Medicine, Hyogo College of Medicine.
Fukuoka
Kazuya
K
Miyake
Mitsutomi
M
Miyata
Shigeru
S
Nakajima
Taisuke
T
Tamura
Kunihiro
K
Tabata
Chiharu
C
Iida
Shinichiro
S
Kuribayashi
Kozo
K
Uesaka
Ayuko
A
Murakami
Aki
A
Yasumitsu
Akihiro
A
Nakano
Takashi
T
D000230:Adenocarcinoma / Q000150:complications* / Q000556:secondary / Q000601:surgery; D000368:Aged; D003131:Combined Modality Therapy; D005260:Female; D006801:Humans; D008175:Lung Neoplasms / Q000150:complications* / Q000473:pathology / Q000601:surgery; D008198:Lymph Nodes / Q000473:pathology; D008207:Lymphatic Metastasis; D020775:Thoracic Surgery, Video-Assisted; D014388:Tuberculosis, Lymph Node / Q000150:complications*