title: [A case of miliary tuberculosis difficult to distinguish from metastatic lung cancer].
abstract: 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.
authors.affiliation: Center of Respiratory Diseases, Kawasaki Medical School Kawasaki Hospital.
authors.forename: Fumiyo
authors.initials: F
authors.lastname: Nanba
authors.forename: Mitsunori
authors.initials: M
authors.lastname: Ishiga
authors.forename: Michihiro
authors.initials: M
authors.lastname: Kishimoto
authors.forename: Takeyuki
authors.initials: T
authors.lastname: Kurihara
authors.forename: Sadao
authors.initials: S
authors.lastname: Tamada
authors.forename: Niro
authors.initials: N
authors.lastname: Okimoto
mesh_terms: 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*