PT  - JOURNAL ARTICLE
AU  - Insaf Mejri
AU  - Besma Ourari
AU  - Hela Cherif
AU  - Jihen B. Amar
AU  - Heifa Zaibi
AU  - Saloua Azzabi
AU  - Med Ali Baccar
AU  - Hichem Aouina
TI  - Pulmonary tuberculosis and lung cancer: A complex interaction
AID  - 10.1183/13993003.congress-2016.PA3721
DP  - 2016 Sep 01
TA  - European Respiratory Journal
PG  - PA3721
VI  - 48
IP  - suppl 60
4099  - http://erj.ersjournals.com/content/48/suppl_60/PA3721.short
4100  - http://erj.ersjournals.com/content/48/suppl_60/PA3721.full
SO  - Eur Respir J2016 Sep 01; 48
AB  - Introduction: Lung cancer could be a risk factor for reactivation of a Mycobacterium Tuberculosis.We herein report 10 cases of patients with lung cancer who were diagnosed with thoracic tuberculosis.Aim: To study the combination, clinical diagnosis and treatment in case of coexistence of lung cancer and tuberculosis.Results: A total of 10 patients diagnosed with lung cancer and tuberculosis. Main patients were men (09). Most of our patients were diagnosed with advanced lung cancer in 80% (stage IIIB-stage IV).Carcinoma occurred in the upper lung zone in 60%. Adenocarcinoma was the most common histological type (80%).The diagnosis of active tuberculosis was made by histopathologic study of the lymph nodes in 8 patients and was made by direct examination of sputum in two patients. The Tuberculosis treatment was initiated in all patients. The chemotherapy was prescribed for 8 patients and was initiated with an average delay of 45 days after the start of anti- tuberculosisdrugs.Conclusion: In the management of lung cancer, we should consider the possibility of coexistence active pulmonary tuberculosis especially in endemic tuberculosis countries. This association should not make delays in the diagnosis and the treatment.