Báo cáo ca lâm sàng hiếm gặp chưa có trong y văn: Đồng mắc ung thư phổi, lao phổi-lao hạch trung thất, u phế bào xơ hóa điều trị thành công tại Bệnh viện Phổi Trung ương năm 2024=Case report on a rare and unprecedented clinical occurrence: Coexisting lung cancer, pulmonary tuberculosis with mediastinal lymphadenitis, pulmonary sclerosing pneumocytoma successfully treated at the National Lung Hospital in 2024

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Tác giả: Công Minh Nguyễn

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Y học Việt Nam (Tổng hội Y học Việt Nam), 2024

Mô tả vật lý: tr.293-298

Bộ sưu tập: Metadata

ID: 252275

Thêm vào giỏ

Co-occurrence of lung cancer and pulmonary tuberculosis is rare in clinical practice, with symptoms often being nonspecific. Treatment is complex due to drug interactions and potential adverse effects. Pulmonary Sclerosing Pneumocytoma is an uncommon condition, with surgical resection being the primary treatment. In this report, we present the case of a 74-year-old female patient admitted with symptoms of cough, weight loss, and persistent chest pain. The patient was preoperatively diagnosed with stage I lung cancer coexisting with pulmonary sclerosing pneumocytoma. Post-surgery, she was also found to have coexisting pulmonary tuberculosis with mediastinal lymph node. Methods: Case report and literature review. Results: The patient was successfully treated with surgery and anti-tuberculosis medication. Conclusion: This is the first reported case in the literature of successful treatment of a patient with coexisting lung cancer, pulmonary tuberculosis with mediastinal lymphadenitis, and pulmonary sclerosing pneumocytoma at the National Lung Hospital.Đồng mắc ung thư phổi và lao phổi rất ít gặp trên lâm sàng, triệu chứng thường không đặc hiệu, điều trị phức tạp do tương tác thuốc và tác dụng không mong muốn
u phế bào xơ hóa của phổi là bệnh lý hiếm gặp, phẫu thuật cắt u là điều trị chính. Trong bài báo này, chúng tôi báo cáo trường hợp bệnh nhân nữ, 74 tuổi, nhập viện với các triệu chứng ho, gầy sút cân, đau tức ngực kéo dài. Bệnh nhân được chẩn đoán trước phẫu thuật ung thư phổi giai đoạn I đồng mắc u phế bào xơ hóa
và tiếp tục được phát hiện thêm đồng mắc lao phổi-lao hạch trung thất sau phẫu thuật. Phương pháp nghiên cứu: báo cáo ca lâm sàng và hồi cứu y văn. Kết quả: Bệnh nhân được điều trị thành công bằng phẫu thuật và thuốc chống lao. Kết luận: Đây là trường hợp đồng mắc ba bệnh ung thư phổi, lao phổi-lao hạch trung thất và u phế bào xơ hóa đầu tiên được báo cáo trong Y văn được điều trị thành công tại Bệnh viện Phổi Trung Ương.

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