Histomorphological features of combined forms of tuberculosis and lung cancer.
DOI:
https://doi.org/10.26641/2307-0404.2017.1.100904Ключевые слова:
pulmonary tuberculosis, lung cancer, post-tuberculosis changes, bronchopulmonary and mediastinal lymph nodesАннотация
The were studied pathological features of combined forms of tuberculosis and non-small cell lung cancer in 72 patients who underwent radical surgical resection interventionsfrom transsternal access with mediastinal lymph node dissection, with predominanceof pneumonectomy - 63.9%. There were identified three main categories of pathological changes: cancer on the background of post-tuberculosis changes, cancer in tuberculoma, cancer in the wall of the active cavity. Post-tuberculosis changes were presented by dense centers, fibrosis, cirrhosis areas, sanitized cavities with histological predominance of coarse fiber connective tissue with giant cellgranulomas, with areas characterized by the appearance of the lung tissue with atypical proliferation and metaplasia of bronchopulmonary epithelium, which is a precancerous condition. This malignant tumor process was presented mainly by adenocarcinomas and squamous cell cancer and differred by polymorphic macro- and microscopic picture. Cancer intuberculoma and fibrous wall cavity differed by pronounced activity of tuberculosis process in the form of lymphohistiocytic infiltration, foci of caseous necrosis and presence of expressed granulation layer of Pirogov-Langhans’cells. The basic morphological causes of carcinogenesis due to secondary changes of lung tissue in patients with tuberculosis were determined. The features of metastasis of malignant tumors on the background of specific tuberculous and post-tuberculosis changes in regional lymph nodes and the interrelation between the frequency of metastatic lesions with severity of tuberculosis and post-tuberculosis changes in them were studied; this has clinical significance in the surgical treatment of patients with concomitant forms of tuberculosis and lung cancer.
Библиографические ссылки
1. Borodulin BE. [Comorbidity cancer and pulmonary tuberculosis]. Vopr. Onkologii. 2006;1:105-6. Russian.
2. Boyarkin GM. [Clinic, diagnostics and treatment of non-small cell lung cancer in combination with tuberculosis]. Dis. kand. med. nauk. 2006;34-35. Russian.
3. Opanasenko MS, Kupchak ІM, Kshanovs'kiy OE. [Diatomaceae as a method of choice for determining the etiology of lymphadenopathy syndrome votron and an algorithm for its optimal use]. Ukr. pul'monol. zhurn. 2016;4:42-46. Ukrainian.
4. Opanasenko MS, Konіk BM, Levanda LІ, Zagaba LM. [The combination of tuberculosis and lung cancer: state of the problem and a clinical case]. Ukr. pul'monol. zhurn. 2016;3:68-70. Ukrainian.
5. Raznatovskaya EN, Prosvetov YuV, Pisarenko TD. [The urgency of the problem of combined flow of tuberculosis and lung cancer]. Zaporozhskiy meditsinskiy zhurnal. 2015;13(2):42-43. Russian.
6. Kshanovs'kiy OE, Opanasenko MS, Pavlyuk ІM, Zagaba LM. [The role of videothoracoscopy and open biopsy for the morphological diagnosis of diffuse lung diseases]. Ukr. pul'monol. zhurn. 2014;1:50-51. Ukrainian.
7. Tsvetkova OA, Pozdnyakova NA. [Difficulties of differential diagnostics of tuberculosis and lung cancer in the presence of cavitary education]. Med. pomoshch'. 2005;2:19-23. Russian.
8. Aoki K. Excess incidence of lung cancer among pulmonary tuberculosis patients. Jpn J Ctin Oncol. 2013;23(4):205-20.
9. Bhatt MLB. Pulmonary tuberculosis as differential diagnosis of lung cancer. Diagnostic dilemia. 2012;1(1):36-42.
10. Chandrasekhar HR. Bronchioloalveolar carcinoma mimicking military tuberculosis. J. Assoc. Physicians. India. 2001;49:281-2.
11. Cicenas S. Lung cancer in patients with tuberculosis. World Journal of Surgical Oncology. 2007;5:22.
12. Endri M. Differential diagnosis of lung nodules: breast cancer metastases and lung tuberculosis. Infez Med. 2010;18(1):39-42.
13. Kumar R, Gupta N. [Role of bronchoscopy in evaluation of cases with sputum smear negative pulmonary tuberculosis, interstitiallung disease and lung malignancy: A retrospective study of 712 cases]. Indian J Tuberculosis. 2015;62(1):36-42.
14. Vento S, Lanzafame M. Tuberculosis and cancer: a complex and dangerous liaison. Lancet Oncol. 2011;12:520-2.
Загрузки
Опубликован
Как цитировать
Выпуск
Раздел
Лицензия
Copyright (c) 2017 Medical Perspectives
![Лицензия Creative Commons](http://i.creativecommons.org/l/by-nc/4.0/88x31.png)
Это произведение доступно по лицензии Creative Commons «Attribution-NonCommercial» («Атрибуция — Некоммерческое использование») 4.0 Всемирная.
Submitting manuscript to the journal "Medicni perspektivi" the author(s) agree with transferring copyright from the author(s) to publisher (including photos, figures, tables, etc.) editor, reproducing materials of the manuscript in the journal, Internet, translation into other languages, export and import of the issue with the author’s article, spreading without limitation of their period of validity both on the territory of Ukraine and other countries. This and other mutual duties of the author and all co-authors separately and editorial board are secured by written agreement by special form to use the article, the sample of which is presented on the site.
Author signs a written agreement and sends it to Editorial Board simultaneously with submission of the manuscript.