TY - JOUR
T1 - Differential diagnosis of lung nodules
T2 - Breast cancer metastases and lung tuberculosis
AU - Endri, Mauro
AU - Cartei, Giuseppe
AU - Zustovich, Fable
AU - Serino, Francesco Saverio
AU - Fassina, Ambrogio
PY - 2010/3
Y1 - 2010/3
N2 - In a follow-up a 74-year-old woman with breast cancer (clinical stage T4N1M0 at onset, treatment by surgical resection and tamoxifen) presented a combination of two distinct diseases in the lung: breast cancer metastasis and tuberculosis. A CT scan showed multiple pulmonary nodular lesions and in only one lesion fine needle aspiration cytology (FNAC) diagnosed tuberculosis. After specific antibiotic therapy, isoniazide and rifampin, a CT scan highlighted disappearance of tubercular lesion. Because occurrence of tuberculosis during chemo or hormone therapy for metastatic breast cancer is rare, the present case is note-worthy. Indeed, it is worth pointing out the differential diagnosis of pulmonary nodular lesions in patients with cancer and the possible reactivation of tuberculosis even in patients without specific symptoms, without typical tubercular radiological features.
AB - In a follow-up a 74-year-old woman with breast cancer (clinical stage T4N1M0 at onset, treatment by surgical resection and tamoxifen) presented a combination of two distinct diseases in the lung: breast cancer metastasis and tuberculosis. A CT scan showed multiple pulmonary nodular lesions and in only one lesion fine needle aspiration cytology (FNAC) diagnosed tuberculosis. After specific antibiotic therapy, isoniazide and rifampin, a CT scan highlighted disappearance of tubercular lesion. Because occurrence of tuberculosis during chemo or hormone therapy for metastatic breast cancer is rare, the present case is note-worthy. Indeed, it is worth pointing out the differential diagnosis of pulmonary nodular lesions in patients with cancer and the possible reactivation of tuberculosis even in patients without specific symptoms, without typical tubercular radiological features.
KW - Breast cancer
KW - Metastases
KW - Pulmonary nodular lesions
KW - Tuberculosis
UR - http://www.scopus.com/inward/record.url?scp=77951601716&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=77951601716&partnerID=8YFLogxK
M3 - Article
C2 - 20424525
AN - SCOPUS:77951601716
VL - 18
SP - 39
EP - 42
JO - Infezioni in Medicina
JF - Infezioni in Medicina
SN - 1124-9390
IS - 1
ER -