Roentgenogram of the Issue : A Case of Pulmonary Tuberculosis with Multiple Nodular Lescons

Kim, Yoo Lee; Ahn, Chul Min; Jang, Sang Ho; Jang, Joo; Kim, Sung Kyu; Kim, Ki Ho

doi:1988.35.1.64

Tuberc Respir Dis > Volume 35(1); 1988 > Article

Roentgenogram of the Issue

Tuberculosis and Respiratory Diseases 1988;35(1):64-68.
DOI: https://doi.org/10.4046/trd.1988.35.1.64 Published online March 1, 1988.

Roentgenogram of the Issue : A Case of Pulmonary Tuberculosis with Multiple Nodular Lescons

Yoo Lee Kim, Chul Min Ahn, Sang Ho Jang, Joo Jang, Sung Kyu Kim, Ki Ho Kim

Department of Internal Medicine, College of Medicine, Yonsei University, Seoul, Korea

만성폐결핵환자에서의 결절성 소견

김유리, 안철민, 장상호, 장준, 김성규, 김기호

Abstract

With worldwide adoption of modem anti-tuberculous treatment, the number of aged patient with advanced tuberculosis lesion has grown. Consequently, many papers appeared describing coexistent pulmonary tuberculosis and carcinoma of the lung with emphasis on clinical picture and the diagnostic difficulty. In the presence of proved tuberculosis, coexisting carcinoma is apt to be unrecognized until it has advanced beyond resectability. This 58-year-old man was admitted to the Severance Hospital becauses of weight loss and general weakness for 2 months. He had experienced pulmonary tuberculosis 30 years ago. Twenty months before the admission he was diagnosed as active pulmonary tuberculosis by chest X.ray and sputum culture. Initially he had responded excellently to antituberculosis chemotherapy. But 2 months before the admission there was extension of presumed tuberculous shadowing on chest X.ray. Flexible bronchoscopic examination and biopsy revealed epidermoid carcinoma.