[A case of miliary tuberculosis difficult to distinguish from metastatic lung cancer].
We report a case of the coexistence of pulmonary tuberculosis and lung cancer maked a wrong diagnosis of lung cancer and metastatic lung carcinoma. The patient was a 80-years-old woman who had ascites and anorexia and decreased weight. Chest CT film showed a mass shadow in the right S, and infiltrative shadows on bilateral lung fields. FDG-PET revealed the tumor in the right lower lung field and many infiltrative shadows in all lung fields, and showed that FDG accumulated diffusely along the peritoneum. We made a diagnosis of lung cancer and metastatic lung carcinoma. However we obtained a diagnosis of coexisting of pulmonary tuberclosis and lung cancer autopsy. When the patient has a shadow suggestive of lung tumor shadow with many infiltrative shadows, we tend to make a diagnosis of lung cancer and metastatic lung carcinoma. We saw the importance of a postmortem examination in a new light.
Nanba
Fumiyo
F
Center of Respiratory Diseases, Kawasaki Medical School Kawasaki Hospital.
Ishiga
Mitsunori
M
Kishimoto
Michihiro
M
Kurihara
Takeyuki
T
Tamada
Sadao
S
Okimoto
Niro
N
D000369:Aged, 80 and over; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008175:Lung Neoplasms / Q000150:complications* / Q000175:diagnosis* / Q000473:pathology; D009362:Neoplasm Metastasis; D014391:Tuberculosis, Miliary / Q000150:complications* / Q000175:diagnosis*; D014397:Tuberculosis, Pulmonary / Q000150:complications* / Q000175:diagnosis*