Pulmonary tuberculosis with pancoast tumuor

Acharya, Vishak K. and Sahoo, Rameshchandra and *, Anand R and *, Ashvini Kumar (2004) Pulmonary tuberculosis with pancoast tumuor. Indian Journal of Tuberculosis, 51. pp. 89-91.

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Summary: A 56 year old man presenting with complaints of pain chest with radiation to the right arm and haemoptysis was found to have a right upper zone mass lesion with rib erosion on the X-ray chest, fine needle aspiration cytology of which revealed squamous cell carcinoma. Subsequently, sputum smear was found to be positive for acid fast bacilli by Ziehl Neelsen stain. Synchronous presence of Pancoast tumour of the lung with active pulmonary tuberculosis in the same lobe is a very rare association. To our knowledge, there has been no previous report of any similar case in literature. INTRODUCTION India has a high prevalence of tuberculosis. With the increase in the prevalence of smoking, bronchogenic carcinoma has also increased over the years. The coexistence of bronchogenic carcinoma and pulmonary tuberculosis is a known entity. However, the synchronous presentation of active pulmonary tuberculosis with Pancoast tumour of lung involving the same lobe is a very rare association. We present a case of coexistence of tuberculosis and Pancoast tumour of the lung involving the same lobe synchronously and the clinical relevance of such an association. CASE REPORT A 56-year-old male patient, a smoker with history of smoking 15 pack years attended the medical out patient department with history of cough associated with scanty sputum, breathlessness, episodes of streaky haemoptysis, low-grade fever and pain chest with radiation to the right arm for two months. The patient denied past history of tuberculosis. On examination, the patient had normal vitals with evidence of grade II clubbing. There were no palpable cervical lymph nodes. Respiratory system examination showed signs of right upper lobe collapse with tenderness overlying second rib, while rest of the systemic examination was normal. Investigations showed normal hemogram, urine analysis and biochemical investigations. ECG was normal. ELISA for HIV was negative. Three separate samples of sputum were examined for AFB 1. Assistant Professor 2. Professor & Head Departmernts of TB & Respiratory Diseases and Radiodiagnosis*, Kasturba Medical College Hospital, Attavar, Mangalore Correspondence: Dr. Vishak Acharya, Asst. Professor, Department of TB & Respiratory Diseases, Kasturba Medical College Hospital, Attavar, Mangalore-575 001, Karnataka. E-mail - achvish@yahoo.co.in Fig. 1: Chest X-ray PA view showing right upper zone haziness due to Pancoast tumour Case Report

Item Type: Article
Uncontrolled Keywords: Pancoast Tumour, Pulmonary Tuberculosis
Subjects: Medicine > KMC Mangalore > Radio Diagnosis and Imaging
Medicine > KMC Mangalore > Medicine
Depositing User: KMCMLR User
Date Deposited: 25 Jan 2014 11:25
Last Modified: 25 Jan 2014 11:25
URI: http://eprints.manipal.edu/id/eprint/138528

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