Abstract:

Tuberculosis is a clinical condition that can maintain many lungs created by mycobacterium tuberculosis whileining all organs and systems. In our country, the 2017 incidence of tuberculosis is 14.6/100,000 and 4.6 percent is in the childhood age group. In childhood tuberculosis, the radiological discovery is unilateral lymphadenopathy and consolidated on the same side, but sometimes it can also come to us with the appearance of nodules and mass damage. Tuberculoma is observed in the form of one or more oval or global-shaped injury associated with primary or post-primary tuberculosis and has characteristics similar to primary or metastatic lung cancer. In this presentation we intended to present our case diagnosed with lung tuberculosis as a result of lung cancer due to radiological findings at the age of 20. At the age of twenty, the patient, who was diagnosed with a mass appearance of 3.5 cm in the PA lung graph, had no pathological findings in the anamnesis, physical examinations and routine laboratory examinations. In Toraks BT, a mass image of 32x34 mm and a hilar of 16 mm diameter LAP was followed. In the bronchoscope endobronchial injury was not observed with bronchial washing. Microbiological and cytological studies were negative. The transbronchial lymphatic biopsy was taken with EBUS, the benign lymphatic tissue was and the ARB was negative. The PET BT showed an increase in metabolic activity (SUV max:8.10) and the lymph nodes in the 16 mm diameter (SUV max:7.02) were observed in the mass and left hiler area. The patient's PPD test was measured 12 mm and 1 BCG scale was available. Transistorakal tru cut biopsy was made. Fourth tuberculosis treatment began after the result of the pathology came into the necrotizan granulomatosis inflammation. 9 months of tracking resulted in the failure to obtain sufficient radiological response, the malignity doubt was not clearly excluded by a surgical decision and wedge resection was applied. The pathological examination was the same as the previous result, malignity was not detected. Pulmonary tuberculosis can be radiologically mixed with many diseases. It is difficult to distinguish from primary or metastatic lung cancer. In suspicious cases, all possible diagnostic methods should be used for distinctive diagnosis. Treatment should be managed by a multidisciplinary team in which breast diseases, breast surgery, radiology and nuclear medicine specialists are involved, surgery should be considered if necessary.

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