A case of squamous cell carcinoma of the lung with tuberculous lymphadenitis in the mediastinal lymph nodes diagnosed by endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA)
Takahiro Tsuburai Ayano Usuba Yuko Komase Baku Ohyama Rintarou Onoe Naoya Hida
Department of Respiratory Medicine, St. Marianna University School of Medicine, Yokohama City Seibu Hospital
The case concerns a 64-year-old woman with back and chest pain. Non-contrast chest-computed tomography (CT) revealed a 5cm tumor in the right S10. We tried a biopsy from the tumor or pulmonary lymph nodule, and made a diagnosis of suspected lung cancer. We therefore performed a CT-guided needle lung biopsy which detected squamous cell carcinoma. From a liquid specimen obtained using EBUS-TBNA, we detected Mycobacterium tuberculosis. We diagnosed coexisting lung cancer and tuberculosis. Coexisting lung cancer and mycobacteriosis has important implications as a respiratory disease in Japan.
Lung cancer Tuberculosis Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA)
Received 24 Aug 2017 / Accepted 27 Nov 2017
AJRS, 7(2): 90-94, 2018