RT Journal Article
SR Electronic
T1 Reasons for late diagnostics of lung cancer in pulmonary tuberculosis patients
JF European Respiratory Journal
JO Eur Respir J
FD European Respiratory Society
SP P2616
VO 40
IS Suppl 56
A1 N.V. Yatskevich
A1 L.K. Surkova
A1 V.P. Kurchin
A1 M.I. Dziusmikeyeva
YR 2012
UL http://erj.ersjournals.com/content/40/Suppl_56/P2616.abstract
AB The aim of this study was to find out reasons for late diagnostics of lung cancer (LC) in pulmonary tuberculosis (TB) pts have been admitted and treated in the RRPC for pulmonology and tuberculosis in 2006-2011.Methods. Data of 6 pts with TB and peripheral LC (grA) (3m,3w, age 66±4), 11 pts with TB and central LC (grB) (8m,3w, age 64±3) were examined. X-ray, HRCT, sputum microscopy, cytology had been performed in all pts. Bronchoscopy had been performed in 4 pts of grA, 9 pts of grB, lobectomy-in 1 pts of grA.Results. LC has been diagnosed during bronchoscopy by morphological investigation of tissue sampling in 2 (50%) pts of grA, 9 (100%) pts of grB, during lobectomy by morphological investigation of tissue sampling in 1 pts of grA, by sputum cytology in 1 pts of grA, in 1 pts of grB. In 1 (17%) pts of grA, 4 (36,4%) pts of grB have been found IB stage of LC, in 3 (27,2%) pts of grB-IIIA stage of LC, in 5 (83%) pts of grA, in 4 (36,4%) pts of grB-IV stage of CL. LC in TB pts have been diagnosed in 1 week-16 months (1 week-1 month-in 8 (47%), in 2 months-in 2 (12%), in 3 months-in 2 (12%), in 4 months-in 3 (17%), in 6 months-in 1 (6%), in 16 months-in 1 (6%) pts). The reasons for late diagnosis of LC since detection of X-ray changes in TB pts were incorrect interpretation of X-ray data, delaying using of invasive methods of investigation-in 6 (50%), late health-care seeking-in 1 (8%), pts severity, delaying using of invasive methods of investigation-in 2 (17%), did not carrying out invasive methods of investigation-in 3 (25%) pts.Conclusions. LC in TB pts has been diagnosed late in 12 (71%) pts. The main reason for late diagnostics of LC in TB pts is delaying using of invasive methods of investigation.