Abstract
Aim: To study information of different examination methods for lung cancer diagnostics in patients of antituberculosis departments
Methods: We analyzed results of medical examinations (clinical, roentgen and bronchological) of 2516 patients in hospital departments of Scientific Practical Centre for Pulmonology and Phthisiology in 2006-2008
Results: Incidence rate of bronchologic cancer was 1,7% (43 patients); average patient age was 60,3 years; males – 76,7%, females – 23,3%. 74,4% cases with lung changes were revealed during the patient visited to physishian and only 25,6% (11 patients) during the systematic R-examination. 18 persons had tuberculosis, the rest patients were examined for specific or nonspecific process. According to made examinations 33 patients had tumour lung lesion, 10 had combination of lung tuberculosis and cancer. Central cancer was suspected in 44,2% patients and peripheral cancer in 50% during the rauting R-examination. Computed tomography increased diagnostics of central lung cancer to 68,4%. In peripheral cancer data of computed tomography was informative in 7 of 9 patients. Bronchoscopy with lung and bronch bicepsy permited to determine lung cancer in 88.9-100%. We had the most difficulties in lung cancer diagnostics because its combination with active tuberculosis and bacilli shedding.
Conclusion: Early diagnostics of lung cancer in antituberculosis departments is possible with availability of timely bronchoscopy and oncologic alert in physicians.
- © 2011 ERS
