4128 : LUNG CANCER, NOT JUST FOR SMOKERS

Author(s): 
Barbosa, Rose Marie; Ramos, Isabel Maria
Text: 
Oral Presentation
OBJECTIVES: Clinical medicine constitutes a large part of our daily activities as family physicians and, as such the authors have chosen this case study to demonstrate the importance of a complete clinical evaluation in this relatively common pathology with a rather uncommon aetiology.
METHODS: An interview in family medicine with a patient from Caldas da Rainha Health Centre.
RESULTS: 63 year old, female patient who sought her family physician with common cold symptoms, namely coryza and a productive cough with white sputum, referring one episode of sputum mixed with blood. A chest x-ray revealed a nodular formation with poorly defined borders. Further study confirmed adenocarcinoma of the lung. Her past medical history highlights childhood tuberculosis (TB). This patient has no history of tobacco abuse or contact with other toxic substances. In August of 2003 the medial and inferior lobes of the right lung were extracted and the patient underwent chemotherapy. The pneumologist and oncologist believe that the major contributing factor in this case is the past history of tuberculosis given the location of the neoplastic lesion and its position relative to the TB scar.
SUMMARY AND CONCLUSIONS: Female lung cancer patient with no past history of tobacco abuse and whose past medical history reveals a childhood TB infection which experts believe to be the major contributing factor in this case. The authors stress the importance of a complete history in order to ascertain probable aetiologies as well as the importance of the follow-up of tuberculosis patients.
Topic: Clinical Practice