Clinical review for general practice

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ISSN (Online) 2782-5671
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FULLSCREEN > Archive > 2024 > Tuberculosis masks of lung cancer (differential diagnosis, clinical observations)

Tuberculosis masks of lung cancer (differential diagnosis, clinical observations)

Elena V. Korzh

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Abstract

The article presents the main points of differential diagnosis of tuberculosis and various types of lung cancer (central, bronchioloalveolar, peripheral), presents own clinical cases of oncological pathology look like tuberculosis. The key clinical and radiological features that suggest lung cancer are highlighted, the diagnostic errors are analyzed, and ways to improve the quality of diagnosis are outlined. The necessity of integrated additional examinations in case of the slightest doubt about the specific nature of the disease, the importance of evaluating the results of observation in dynamics is emphasized. It has been shown that a single detection of bacterial excretion is not evidence of active pulmonary tuberculosis in the presence of clinical and radiation signs of oncological pathology.
Keywords: tuberculosis, lung cancer, differential diagnosis, clinical case.

About the Author

Elena V. Korzh 1

1 Gorky Donetsk State Medical University, Donetsk, Russia; Republican Clinical Tuberculosis Hospital, Donetsk, Russia

References

1. Акрамов А.Р. Алгоритмы дифференциальной диагностики рака и туберкулеза легкого. Вестник врача. 2011;(2):31-6. Режим доступа: https://inlibrary.uz/index.php/doctors_herald/article/view/11655
Akramov A.R. Algorithms for the differential diagnosis of cancer and pulmonary tuberculosis. Doctor's Bulletin. 2011;(2):31-6. Available at: https://inlibrary.uz/index.php/doctors_herald/article/view/11655 (in Russian).
2. Корж Е.В., Подчос Н.А., Завгородний А.Ф. Гипердиагностика туберкулеза у больных, направляемых на госпитализацию в противотуберкулезное отделение. Туберкулез и болезни легких. 2023;101(1):55-62. DOI: 10.58838/2075-1230-2023-101-1-55-62
Korzh E.V., Podchos N.A., Zavgorodniy A.F. Overdiagnosis of tuberculosis in patients referred for hospitalization in the anti-tuberculosis department. Tuberculosis and lung diseases. 2023;101(1):55-62. DOI: 10.58838/2075-1230-2023-101-1-55-62 (in Russian).
3. Корж Е.В., Тарасенко В.Д., Подчос Н.А. Туберкулез: основы дифференциального диагноза, клинические наблюдения. Донецк: Донецкий национальный медицинский университет им. М. Горького, 2019.
Korzh E.V., Tarasenko V.D., Podchos N.A. Tuberculosis: basics of differential diagnosis, clinical observations. Donetsk: Donetsk National Medical University named after. M. Gorky, 2019 (in Russian).
4. Трахтенберг А.Х., Колбанов К.И., Седых С.А. Особенности диагностики и лечения рака легкого. Пульмонология. 2008;(4):5-17.
Trakhtenberg A.Kh., Kolbanov K.I., Sedykh S.A. Features of diagnosis and treatment of lung cancer. Pulmonology. 2008;(4):5-17 (in Russian).
5. Кривонос П.С., Тамашакина Г.Н. Частота и характер бактериовыделения у больных раком легкого. Туберкулез современного периода: материалы международной научно-практической конференции «Современные медицинские технологии в диагностике, лечении и диспансерном наблюдении пациентов с туберкулезом», Минск, 7–8 июня, 2012; c. 214-6.
Krivonos P.S., Tamashakina G.N. Frequency and nature of bacterial excretion in patients with lung cancer. Tuberculosis of the modern period: materials of the international scientific and practical conference “Modern medical technologies in diagnosis, treatment and follow-up of patients with tuberculosis”, Minsk, June 7–8, 2012; p. 214-6 (in Russian).
6. Nicol MP, Whitelaw A, Wendy S. Using Xpert MTB/RIF. Curr Respir Med Rev 2013;(9):187-92. DOI: 10.2174/1573398X113099990015

For citation:Korzh E.V. Tuberculosis masks of lung cancer (differential diagnosis, clinical observations). Clinical analysis in general medicine. 2024; 5 (2): 64–71 (In Russ.). DOI: 10.47407/kr2023.5.2.00390


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