173P - Misdiagnosis of lung tuberculosis leads to delaying in lung cancer diagnosis and treatment: Time to use anti-tuberculosis treatment judiciously

Date 17 April 2015
Event ELCC 2015
Session Poster lunch
Topics Cancer in Special Situations
Imaging, Diagnosis and Staging
Lung and other Thoracic Tumours
Presenter Rajiv Devgan
Citation Annals of Oncology (2015) 26 (suppl_1): 51-54. 10.1093/annonc/mdv053
Authors R.K. Devgan
  • Department Of Radiotherapy And Oncology, Government Medical College, 143007 - Patala/IN

Abstract

Aim/Background

The aim of this study was to study the time of delay in starting the definate treatment of lung cancer caused by misdiagnosis of lung tuberculosis.

Methods

Retrospectively 100 cases of lung cancer, those presenting in the department of radiotherapy and oncology from January 2011 to December 2013, were analysed using the radiological and pathological/ microbiological reports and detailed medical history.

Results

All 100 patients wre found to have taken anti-tuberculosis treatment ranging from 2 months to 4 months duration before they presented in the department. This has led to progression of the disease.

Conclusions

Lung tuberculosis incidence is quite high in India as in the other developing countries. ATT is commonly prescribed to patients presenting with the symptoms of cough and fever for more than one month duration on the basis of chest X-ray and sputum test, that are sometimes inconclusive. As the symptoms of both conditions are overlapping and there is a lack of advanced diagnostic facilities at primary centers and a lack of awareness regarding the growing incidence of lung cancer leading to delay in starting the definate treatment of lung cancer ranging from 2- 4 months duration which is very crucial, judicious use of ATT in all the cases who presented with chronic cough and fever is highly recommended.

Disclosure

The author has declared no conflicts of interest.