Nugroho M Ikhsan, Sensusiati Anggraini Dwi
Department of Radiology, Faculty of Medicine, Universitas Airlangga, Surabaya, East Java, Indonesia.
Universitas Airlangga Teaching Hospital, MERR (C) Campus, Mulyorejo, Surabaya, East Java, 60115 Indonesia.
Radiol Case Rep. 2023 Feb 28;18(5):1758-1762. doi: 10.1016/j.radcr.2023.01.100. eCollection 2023 May.
It is well-recognized that tuberculosis (TB) can mimic several clinical diseases, particularly cancer. On several occasions, lung TB can be misdiagnosed as cancer, particularly in developed countries with a rare case of TB and high incidence of lung cancer, and vice versa- in which Indonesia, with a high incidence of TB, lung cancer may be mistakenly identified as TB, delaying the initiation of definitive therapy and causing unnecessary diagnostic and treatment procedures. We reported a 59-year-old male who complained of right upper chest pain, accompanied by chronic cough and weight loss, with a history of 6-month treatment with a TB regimen without resolution of his symptoms. Core biopsy CT guiding pathology anatomy revealed atypical adenocarcinoma. All patients seeking medical attention must be treated carefully, avoiding diagnostic procedures that can result in a delay in definitive therapy.
众所周知，结核病（TB）可模仿多种临床疾病，尤其是癌症。在某些情况下，肺结核可能被误诊为癌症，特别是在结核病罕见而肺癌发病率高的发达国家，反之亦然——在结核病高发的印度尼西亚，肺癌可能被错误地诊断为结核病，从而延误确定性治疗的开始，并导致不必要的诊断和治疗程序。我们报告了一名59岁男性，他主诉右上胸痛，伴有慢性咳嗽和体重减轻，有接受结核治疗方案6个月但症状未缓解的病史。CT引导下的核心活检病理解剖显示为非典型腺癌。所有寻求医疗救治的患者都必须得到仔细治疗，避免采用可能导致确定性治疗延误的诊断程序。
