A study of radiological presentation in bronchogenic carcinoma along with prevelance of pulmonary TB in a tertiary center

Authors

  • Hemant Kumar Sharma Department of Pulmonary Medicine, GMC Kota, Rajasthan, India
  • Babulal Bansiwal Department of Pulmonary Medicine, GMC Kota, Rajasthan, India
  • Anil Saxena Department of Pulmonary Medicine, GMC Kota, Rajasthan, India
  • Shinu A. Department of Pulmonary Medicine, GMC Kota, Rajasthan, India
  • Abdul Qayyum Ansari Department of Pulmonary Medicine, GMC Kota, Rajasthan, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20201907

Keywords:

Bronchogenic carcinoma, CT scan, Pulmonary TB, Radiological evaluation

Abstract

Background: Lung cancer is most common cause of cancer related death in men and women world wise responsible for over 1 million death annually. Lung cancer is leading cause of cancer death in united states and worldwide. Lung cancer is the most common neoplasm contributing more frequent among males causing cancer related mortality in both sexes. Objective of this study was to radiological presentation in bronchogenic carcinoma along with   prevalence of pulmonary TB in a tertiary center.

Methods: Total of 100 patients with histologically proven lung cancer, from July 2018 to June 2019 at a tertiary center Kota Rajasthan. Data of participants regarding demographics, history of smoking habit, clinical presentation, histopathological type, radiographic findings on chest radiograph, ultrasonography, computed tomography (CT) scan, Statistical analysis was performed using descriptive statistics of the collected data.

Results: Most common age group of bronchogenic carcinomas was seen between 60-69 years of age (37%) with male predominance (82%).  smoking history present in about (80%) patients.  Most common radiological presentation was a mass lesion present in 91% patients (n=91) followed by unilateral hilar prominence present in 44% of patients (n=44). Other common finding includes mediastinal widening (38%), collapse (26%). pleural effusion (22%), metastasis (22%), cavitation (13%), consolidation (12%), bony erosion (11%), pneumothorax (5%), and pancost tumor (4%).  prevalence of pulmonary TB in bronchogenic carcinoma is 9% and this is due to high burden of pulmonary TB in India.

Conclusions: In this study adenocarcinoma was found to be most common type of lung cancer. Smoking is most common risk factor. Pulmonary TB coexistence with bronchogenic carcinoma was more common. The local immunity is deteriorated in cancer cases.

References

Youlden D, Cramb S, Baade P. The International Epidemiology of Lung Cancer: Geographical Distribution and Secular Trends. J Thoracic Oncol. 2008;3(8):819-31.

Parkin DM, Bray F, Ferlay J, Pisani P. Global cancer statistics, 2002. CA Cancer J Clin. 2005;55:74-108.

Guleria JS, Gopinath N, Talwar JR, Bhargave S, Pande JN, Gupta RG. Bronchial carcinoma-An analysis of 120 cases. J Assoc Physicians India. 1971;19:251-5.

Malik PS, Sharma MC, Mohanti BK, Shukla NK, Deo S, Mohan A, et al. Clinico-pathological Profile of Lung Cancer at AIIMS: A Changing Paradigm in India Asian Pacific J Cancer Prev. 2013;14(1):489-94.

Saket RK, Divyashree. Role of Multi-Detector Computed Tomography Imaging In Patients with Clinically Suspected Lung Cancer in Kumaun Region of Uttarakhand (India)JMSCR. 2016;4(8).

Hathila N, Goswami D. Radiological evaluation of various types of primary Bronchogenic carcinoma: a study of 65 cases. Int J Med Sci Public Health. 2016; 5:919-23.

Rawat J, Sindhwani G, Gaur D, Dua R, Saini S. Clinico-pathological profile of lung cancer in Uttarakhand. Lung India. 2009;26(3):74.

Adaikkalavan C, Sajitha K, Verghese J, Varghese AE. Role of Computed Tomography in Diagnosis of Bronchogenic Carcinoma with Histopathological Correlation. JMSCR, 2017;5(6):116.

Prasad R, James P, Kesarwani V, Gupta R, Pant MC, Chaturvedi A, et al. Clinicopathological study of Bronchogenic Carcinoma. Respirol. 2004;9(4):557-60.

Gupta R. Clinical, Radiologicaland Histological profileof Primary Lung Carcinomas. JK Sc J Med Edu Res. 2015;17(3).

Dasgupta P, Choudhury K, Paul N, Choudhury KB, Roy B, Maity S. Association of pulmonary tuberculosis with lung carcinoma: An epidemiological study. Clin Cancer Investig J. 2018;7:199-202.

Downloads

Published

2020-04-27

How to Cite

Sharma, H. K., Bansiwal, B., Saxena, A., A., S., & Ansari, A. Q. (2020). A study of radiological presentation in bronchogenic carcinoma along with prevelance of pulmonary TB in a tertiary center. International Journal of Research in Medical Sciences, 8(5), 1675–1678. https://doi.org/10.18203/2320-6012.ijrms20201907

Issue

Section

Original Research Articles