ISSN: 1300-0292
İndekslendiği Dizinler: SCIENCE CITATION INDEX EXPANDED
CINAHL, Index Copernicus,
Chemical Abstracts (CA),
Excerpta Medica / EMBASE
Dil: Türkçe, İngilizce
İçerik: Orijinal Araştırma, Derleme, Editöre Mektup, Olgu Sunumu, Tıp Eğitimi, Tıbbi Kitap İncelemeleri
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Approach To Patients With Cavitary Lung Disease
Akın Kaya*, Selda Kaya**, Gökhan Çelik*, Özlem Özdemİr***, Doğanay Alper****
*Uzm.Dr.Ankara Üniversitesi Tıp Fakültesi Göğüs Hastalıkları ve Tüberküloz AD,
**Dr.Atatürk Göğüs Hastalıkları ve Cerrahisi Merkezi,
***Doç.Dr.Ankara Üniversitesi Tıp Fakültesi Göğüs Hastalıkları ve Tüberküloz AD,
****Prof.Dr.Ankara Üniversitesi Tıp Fakültesi Göğüs Hastalıkları ve Tüberküloz AD, ANKARA
Tuberculosis, pulmonary carcinoma and bacterial infections are the most common causes of cavitary lung diseases. We evaluated 57 patients, that were examined in our departments in the last six months, to detect the radiological features and etiologies of cavitary lung disease. We planned to suggest a diagnostic algoritm according to the symptoms, radiological appearance and diagnostic methods of our patients.
The most common radiological appearance was cavitary lesion with fibronoduler disease (40.3%). The most commonly used diagnostic methods were ARB analysis of sputum (47%) and bronchoscopy. Tuberculosis (49%) and lung cancer (14%) were the most frequent causes of cavitary lung disease.
We conclude that all patients with cavitary lung disease must be evaluated for tuberculosis. If there is a suspect of malignancy CT scan of the thorax and bronchoscopy should be done. If bronchoscopy are nondiagnostic, especialy in the presence of isolated cavitary lesion, history of smoking and advanced age, diagnostic and therapeutic thoracotomy should be considered.
Keywords: Cavitary lung disease, Tuberculosis, Lung cancer
Turkiye Klinikleri J Med Sci 1997, 17:413-418
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