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Vol.61 No.5 contents | Japanese/English |
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- Case Report -
A Case of Lung Cancer with Cervical Lymph Node Tuberculosis
Chikara Nakagami1, Kenta Nakahashi1, Marina Shiikawa1, Makoto Endoh1, Shuichi Abe2, Hiroki Suzuki3, Satoshi Shiono11Department of Thoracic Surgery, 2Department of Infectious Diseases, 3Department of Respiratory Medicine, Yamagata Prefectural Central Hospital, Japan
Background. Cervical lymph node tuberculosis accounts for 2-3% of all tuberculosis cases. Although lung cancer with pulmonary tuberculosis has been frequently reported, reported cases of lung cancer with cervical lymph node tuberculosis are rare. Case. A right lung nodule and cervical lymphadenopathy were detected using computed tomography in a 76-year-old woman complaining of swelling at the right side of her neck. We suspected lymph node metastasis from lung cancer and performed a right cervical lymph node biopsy. The pathological finding revealed a diagnosis of cervical lymph node tuberculosis. Although we considered examining the right lung nodule, it was difficult to perform bronchoscopy because of the possibility of infection in case the patient also had pulmonary tuberculosis. Thus, for the lymph node tuberculosis, we first administered anti-tuberculosis drug therapy to the patient. After anti-tuberculosis drug therapy had been administered for three months, we performed surgery. The frozen section diagnosis of the tumor was lung cancer, and we performed right upper lobectomy and lymph node dissection. The diagnosis was pT2aN0M0-stage IB lung adenocarcinoma. Because the patient was still receiving anti-tuberculosis therapy, postoperative adjuvant chemotherapy was not provided. Eight months after surgery, she is doing well and shows no signs of recurrence. Conclusion. Since it could be troublesome to treat lung cancer without controlling a tuberculosis infection, it is essential to administer initial treatment for tuberculosis to lung cancer patients with tuberculosis.
key words: Lung cancer, Cervical lymph node tuberculosis, Surgery
Received: April 7, 2021
Accepted: May 24, 2021
JJLC 61 (5): 407-411, 2021
