CT Scan Imaging in Tuberculosis and Lung Cancer: A Case Report in Lung Hospital
DOI:
https://doi.org/10.36408/mhjcm.v10i2.938Keywords:
computed tomography, tuberculosis, lung cancerAbstract
Background: Tuberculosis is a contagious infectious disease that attacks various organs, especially the lungs. Chest CT scan modalities have a role in helping the diagnosis of tuberculosis and lung cancer. This case report presents a rare case of two women diagnosed with tuberculosis and lung cancer.
Cases Presentation: Two women aged 43 and 42 years came to the radiology department with a history of chest pain, loss of appetite, and cough, and underwent tuberculosis therapy by taking medication for two months. The patient underwent chest x photo thorax, abdominal ultrasound, thoracic CT scan, and a biopsy was performed with CT scan guiding.
Discussion: The findings of this case are consistent with previous studies which explained that radiological CT scans found tuberculosis with lung cancer. In the lung window, CT scan chest contrast found cystic bronchiectasis. Other results showed an encapsulated pleural effusion in the right hemithorax, compression atelectasis, and multiple lymphadenopathies.
Conclusion: CT scan imaging simultaneously can show the occurrence of tuberculosis and lung cancer. Lung cancer that worsens can cause adenocarcinoma with metastasis spreading to other organs.
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1. Wulandari L, Juwita PM. Disseminated Tuberculosis Mimicking Lung Cancer with Multiple Bone Metastasis: A Case Report. Indonesian Journal of Tropical and Infectious Disease. 2020;8(3):174-82.
2. Ntoumi F, Nachega JB, Aklillu E, Chakaya J, Felker I, Amanullah F, et al. World Tuberculosis Day 2022: aligning COVID-19 and tuberculosis innovations to save lives and to end tuberculosis. The Lancet Infectious Diseases. 2022;22(4):442-4.
3. Kabiri M, Agamba A, Awuffor P, Darkwa H, Larweh K. Factors Affecting Tuberculosis Case Detection in Kwahu East District of the Eastern Region, Ghana-A Health Facility-Based Cross-Sectional Study among TB Patients. J Infect Dis Epidemiol. 2022;8:264.
4. Engels EA, Shen M, Chapman RS, Pfeiffer RM, Yu Y-Y, He X, et al. Tuberculosis and subsequent risk of lung cancer in Xuanwei, China. International Journal of Cancer. 2009;124(5):1183-7.
5. Cöllü AY, Ucarman N, Bayhan GI. Complicated clinical course of zoonotic tuberculosis due to Mycobacterium Caprae: A case report and literature review. International Journal of Mycobacteriology. 2022;11(4):466-8.
6. Bachtiar NA, Asriyani S, Murtala B, Djaharuddin I, Zainuddin AA, Latief N. Pulmonary Tuberculosis CT-Scan Features and Sputum Smear in Tertiary Referral Hospital. Nusantara Medical Science Journal. 2020;5(2):80-6.
7. Ranuh SR, AStuti MP. Capturing Tubercular Meningitis Progression in Children with Multi-Sliced Computed Tomography (MSCT) Scan: a Prospective Case Report. Berkala Ilmiah Kedokteran Duta Wacana. 2020;5(1):3-9.
8. WHO. Global Tuberculosis Report 2022. World Health Organization 2022.
9. Thattaamuriyil Padmakumari L, Guido G, Caruso D, Nacci I, Del Gaudio A, Zerunian M, et al. The Role of Chest CT Radiomics in Diagnosis of Lung Cancer or Tuberculosis: A Pilot Study. Diagnostics [Internet]. 2022; 12(3).
10. Zheng W, Blot WJ, Liao ML, Wang ZX, Levin LI, Zhao JJ, et al. Lung cancer and prior tuberculosis infection in Shanghai. British Journal of Cancer. 1987;56(4):501-4.
11. Yu Y-H, Liao C-C, Hsu W-H, Chen H-J, Liao W-C, Muo C-H, et al. Increased Lung Cancer Risk among Patients with Pulmonary Tuberculosis: A Population Cohort Study. Journal of Thoracic Oncology. 2011;6(1):32-7.
12. Bhatt M, Kant S, Bhaskar R. Pulmonary tuberculosis as differential diagnosis of lung cancer. South Asian journal of cancer. 2012;1(01):36-42.
13. Islam M, Mahamud AH, Rab R, editors. Analysis of CT Scan Images to Predict Lung Cancer Stages Using Image Processing Techniques. 2019 IEEE 10th Annual Information Technology, Electronics and Mobile Communication Conference (IEMCON); 2019 17-19 Oct. 2019.
14. Cui E-N, Yu T, Shang S-J, Wang X-Y, Jin Y-L, Dong Y, et al. Radiomics model for distinguishing tuberculosis and lung cancer on computed tomography scans. World journal of clinical cases. 2020;8(21):5203.
15. Zerunian M, Laghi A, Caruso D. Radiomics in Oncology III. Diagnostics. 2023;13(1):149.
16. Bhargava A, Bhargava M. Tuberculosis deaths are predictable and preventable: Comprehensive assessment and clinical care is the key. Journal of Clinical Tuberculosis and Other Mycobacterial Diseases. 2020;19:100155.
17. Bhargava A, Shewade HD. The potential impact of the COVID-19 response related lockdown on TB incidence and mortality in India. Indian Journal of Tuberculosis. 2020;67(4, Supplement):S139-S46.
18. Avoi R, Liaw YC. Tuberculosis death epidemiology and its associated risk factors in Sabah, Malaysia. International journal of environmental research and public health. 2021;18(18):9740.
19. Dacosta N, Kinare S. Association of lung carcinoma and tuberculosis. Journal of postgraduate medicine. 1991;37(4):185.
20. Cukic V. The association between lung carcinoma and tuberculosis. Medical archives. 2017;71(3):212.
21. Abdeahad H, Salehi M, Yaghoubi A, Aalami AH, Aalami F, Soleimanpour S. Previous pulmonary tuberculosis enhances the risk of lung cancer: systematic reviews and meta-analysis. Infectious Diseases. 2022;54(4):255-68.
22. Liang H-Y, Li X-L, Yu X-S, Guan P, Yin Z-H, He Q-C, et al. Facts and fiction of the relationship between preexisting tuberculosis and lung cancer risk: A systematic review. International Journal of Cancer. 2009;125(12):2936-44.
23. Horst C, Patel S, Nair A. Reporting and management of incidental lung findings on computed tomography: beyond lung nodules. The British Journal of Radiology. 2023;96(1142):20220207.
24. de Jong PA, Lindblad A, Rubin L, Hop WC, de Jongste JC, Brink M, et al. Progression of lung disease on computed tomography and pulmonary function tests in children and adults with cystic fibrosis. Thorax. 2006;61(1):80-5.
25. Kaur A, Kajal N, Goyal A. Lung cancer coexisting with pulmonary tuberculosis: A rare case report. Indian Journal of Respiratory Care. 2021;10(1):126-.
26. Linguissi LSG, Andoseh G, Mabiala A. Pulmonary Tuberculosis and Lung Cancer: A Case Report. Journal of Internal Medicine Research & Reports SRC/JIMRR-106 DOI: doi org/1047363/JIMRR/2022 (1). 2022;106:2-3.
27. Hwang SY, Kim JY, Lee HS, Lee S, Kim D, Kim S, et al. Pulmonary tuberculosis and risk of lung cancer: a systematic review and meta-analysis. Journal of Clinical Medicine. 2022;11(3):765.
28. Park HY, Kang D, Shin SH, Choi H, Jang SH, Lee C-H, et al. Pulmonary tuberculosis and the incidence of lung cancer among patients with chronic obstructive pulmonary disease. Annals of the American Thoracic Society. 2022;19(4):640-8.
29. Qin Y, Chen Y, Chen J, Xu K, Xu F, Shi J. The relationship between previous pulmonary tuberculosis and risk of lung cancer in the future. Infectious Agents and Cancer. 2022;17(1):20.
30. Nin CS, de Souza VVS, do Amaral RH, Neto RS, Tronco Alves GR, Marchiori E, et al. Thoracic lymphadenopathy in benign diseases: A state of the art review. Respiratory Medicine. 2016;112:10-7.
31. Xu H, Koo HJ, Lee HN, Lim S, Lee JW, Choi C-M, et al. Lung cancer in patients with tuberculous fibrothorax and empyema: Computed tomography and 18F-fluorodeoxyglucose positron emission tomography findings. Journal of Computer Assisted Tomography. 2017;41(5):772-8.
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