Diagnosis and treatment of pulmonary tuberculosis with lung cancer.docVIP

 PAGE \* MERGEFORMAT 14 Diagnosis and treatment of pulmonary tuberculosis with lung cancer [Keywords:] Tuberculosis, Pulmonary; lung neoplasms / diagnosis; treatment In recent years, the incidence of tuberculosis has increased in old age trend, China’s 4th (2000) TB epidemiological survey showed that the increased incidence of tuberculosis in old age [1], old age is a good age for lung cancer, two diseases tend to coexist increased risk of tuberculosis patients was significantly increased risk of lung cancer [2,3]. senile pulmonary tuberculosis, lung cancer incidence of the coexistence of 0.94% was 0.86% [4,5]. coexistence of the two typical clinical manifestation, often to the diagnosis and treatment difficult. Progress in the diagnosis and treatment now exist are summarized below. 1, the coexistence of tuberculosis and lung cancer pathogenesis Tuberculosis and lung cancer is completely different causes, treatment and prognosis of two different diseases. Clinical studies have shown that TB patients the risk of lung cancer in the general population is 1.5 to 2.5 times [6,7], the mechanism of coexistence between the two, there are several different perspectives: (1) the occurrence of tuberculosis and lung cancer theory, scholars reported [7 10], susceptibility to pulmonary tuberculosis scar adenocarcinoma of the coexistence of the two cases, the first of tuberculosis complicated by lung cancer accounted for 78%, and the coexistence of active pulmonary tuberculosis accounted for a large proportion of lung cancer, lung field in the same side of 76% of the same lobe. may be because: chronic stimulation to promote tuberculosis lesions and adjacent parts of the epithelial tissue metaplasia, pulmonary tuberculosis Ministry of chronic injury and inflammation can lead to bronchioles and alveolar epithelial cell necrosis, loss, hyperplasia, causing mutations, as well as smoking or other carcinogens induced carcinogenesis provides a pathological basis, the ma