Title |
Tuberculosis That Mimics Cancer: Cases Referred to the National Institute of Neoplastic Diseases, Lima-Peru.
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Published in |
Revista Peruana de Medicina Experimental y Salud Pública, April 2018
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DOI | 10.17843/rpmesp.2018.351.3602 |
Pubmed ID | |
Authors |
Juliana R Villena-Suarez, William Vicente, Luis Taxa, Luis Cuéllar, Maria T Nuñez-Butrón, Valeria Villegas, Miluska Castillo, Carlos A Castañeda |
Abstract |
Tuberculosis (TB) is a major public health problem that, due to the clinical variability of its presentation, can be confused with cancer. The aim of this study was to identify the clinical-radiological characteristics and to describe the methodology that allowed to achieve a TB diagnosis in patients referred to the National Institute of Neoplastic Diseases (INEN) with a presumed diagnosis of cancer between 2014 and 2016. The study included 170 patients (52.4% men) with an average age of 41.1 years; 18% presented a history of contact with TB, and 5.9% had had the disease previously. The TB was pulmonary in 22.4% and extrapulmonary in 77.7% of patients. The most frequent symptoms were respiratory, tumor, weight loss, and neurological. The cancer diagnoses most frequently discarded were lymphoma, lung cancer, and brain cancer. The lesions that suggested a neoplasm indicated an advanced clinical stage in 63.5%. Therefore, it follows that the symptoms and images associated with TB can be confused with malignant neoplasms. |
X Demographics
Geographical breakdown
Country | Count | As % |
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Portugal | 1 | 100% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 1 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 16 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Professor > Associate Professor | 3 | 19% |
Other | 1 | 6% |
Student > Ph. D. Student | 1 | 6% |
Student > Bachelor | 1 | 6% |
Researcher | 1 | 6% |
Other | 1 | 6% |
Unknown | 8 | 50% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 3 | 19% |
Agricultural and Biological Sciences | 1 | 6% |
Nursing and Health Professions | 1 | 6% |
Immunology and Microbiology | 1 | 6% |
Neuroscience | 1 | 6% |
Other | 0 | 0% |
Unknown | 9 | 56% |