Pancoast tumor mimicking lung tuberculosis, a case report

Nugroho, M. Ikhsan; Sensusiati, Anggraini Dwi

doi:10.1016/j.radcr.2023.01.100

Cited by 1 publication

(1 citation statement)

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“…Khan et al emphasized the tendency to treat patients from tuberculosis endemic areas empirically despite a negative sputum smear, while metastatic disease should always be considered until a diagnosis is made. Referring to the former, a case of a patient from Indonesia (a country with a high incidence of TB) was initially diagnosed with tuberculosis and treated for 6 months, who ultimately turned out to have a Pancoast tumor [ 31 ].…”

Section: Discussionmentioning

confidence: 99%

Lung Lesions: Differential Diagnoses Beyond Cancer

Jurczak,

Romaszko-Wojtowicz,

Doboszyńska

2024

Am J Case Rep

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Unusual clinical course Background:Lung cancer is the most common malignant neoplasm diagnosed worldwide. Early diagnosis and treatment are of great importance for patient's prognosis. A wide variety of pulmonary conditions display clinical and radiological presentation similar to that of lung cancer, and the awareness of their existence can help in making correct diagnoses. Case Reports:This article presents a description of 4 patients with an insidious type of lesions mimicking pulmonary carcinomas. The first patient was referred to Department with a tumor-like lesion in the right lung. After CT of the chest and core-needle biopsy, the lesion turned out to be an ectopic thyroid tissue. The second patient reported a dry cough and weight loss. A lung nodule mass was revealed in chest CT and the patient was diagnosed with pulmonary tuberculoma. The remaining 2 patients, despite the suspicion of lung cancer, were subsequently diagnosed with a post-traumatic pleural hematoma and diffuse large B cell lymphoma. Conclusions:Low-dose computed tomography of the chest plays a significant role in the diagnosis of newly detected lesions in the lungs. However, due to the similarity of the image of cancer to that of other diseases, the ultimate diagnosis should be based on the interpretation of full imaging diagnostic tests, clinical presentation, and histopathological examination of the material obtained from the lesion. Analysis of cases enables us to expand our understanding of the diseases that need to be considered in differential diagnosis of a patient with a detected tumor-like lesion in the lungs.

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Section: Discussionmentioning

confidence: 99%