Tuberc Respir Dis.  1988 Mar;35(1):64-68. 10.4046/trd.1988.35.1.64.

Roentgenogram of the Issue : A Case of Pulmonary Tuberculosis with Multiple Nodular Lescons

• KMID: 2528629
• DOI: http://doi.org/10.4046/trd.1988.35.1.64

Abstract

With worldwide adoption of modem anti-tuberculous treatment, the number of aged patient with advanced tuberculosis lesion has grown. Consequently, many papers appeared describing coexistent pulmonary tuberculosis and carcinoma of the lung with emphasis on clinical picture and the diagnostic difficulty. In the presence of proved tuberculosis, coexisting carcinoma is apt to be unrecognized until it has advanced beyond resectability. This 58-year-old man was admitted to the Severance Hospital becauses of weight loss and general weakness for 2 months. He had experienced pulmonary tuberculosis 30 years ago. Twenty months before the admission he was diagnosed as active pulmonary tuberculosis by chest X.ray and sputum culture. Initially he had responded excellently to antituberculosis chemotherapy. But 2 months before the admission there was extension of presumed tuberculous shadowing on chest X.ray. Flexible bronchoscopic examination and biopsy revealed epidermoid carcinoma.