title: Concomitant tuberculosis and lung cancer diagnosed by bronchoscopy.
abstract: METHODS
  South Granada Health Area (SGHA), Spain.
  
  
  OBJECTIVE
  To describe the characteristics of concomitant tuberculosis (TB) and lung cancer cases.
  
  
  METHODS
  A total of 319 TB cases diagnosed between January 2003 and December 2010 were evaluated and identified using a prospective database. During this period, samples of bronchial secretions were obtained from all patients who underwent fibreoptic bronchoscopy (FBS) as part of a TB screening programme. A descriptive study was conducted.
  
  
  RESULTS
  Concomitant TB and lung cancer were diagnosed in 15 cases (4.7% of total TB cases). The most common radiographic finding was atelectasis (53.3%), and the most common histological type was epidermoid carcinoma (60%). Lung cancer stage was advanced (III-IV) in 60% of the cases.
  
  
  CONCLUSIONS
  The association between TB and lung cancer found in the SGHA after implementing a TB screening programme was higher than in other studies. This suggests that it would be advisable to perform acid-fast bacilli smear and mycobacterial culture of bronchial aspirates in all patients with presumed lung cancer, particularly in high TB prevalence areas.
authors.affiliation: Department of Pulmonology, Virgen de las Nieves University Hospital, Granada, Spain.
authors.forename: C
authors.initials: C
authors.lastname: Morales-García
authors.affiliation: Department of Infectious Diseases, San Cecilio University Hospital, Granada, Spain.
authors.forename: J
authors.initials: J
authors.lastname: Parra-Ruiz
authors.affiliation: Department of Internal Medicine, Santa Ana Hospital, Motril, Spain.
authors.forename: J A
authors.initials: JA
authors.lastname: Sánchez-Martínez
authors.affiliation: Department of Internal Medicine, Santa Ana Hospital, Motril, Spain.
authors.forename: A E
authors.initials: AE
authors.lastname: Delgado-Martín
authors.affiliation: Department of Pulmonology, Virgen de las Nieves University Hospital, Granada, Spain.
authors.forename: A
authors.initials: A
authors.lastname: Amzouz-Amzouz
authors.affiliation: Department of Infectious Diseases, San Cecilio University Hospital, Granada, Spain.
authors.forename: J
authors.initials: J
authors.lastname: Hernández-Quero
mesh_terms: D000368:Aged; D001706:Biopsy; D001999:Bronchoscopy; D002294:Carcinoma, Squamous Cell / Q000175:diagnosis* / Q000382:microbiology; D015897:Comorbidity; D005260:Female; D006801:Humans; D008168:Lung / Q000473:pathology*; D008175:Lung Neoplasms / Q000175:diagnosis* / Q000382:microbiology; D008297:Male; D008875:Middle Aged; D009169:Mycobacterium tuberculosis / Q000302:isolation & purification*; D009367:Neoplasm Staging; D011446:Prospective Studies; D013030:Spain; D014376:Tuberculosis / Q000150:complications*