Tuberculous Scarring and Primary Lung Cancer

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Abstract
Pulmonary tuberculosis complicated by the development of primary bronchogenic carcinoma presents a serious diagnostic and therapeutic challenge. The clinician must strongly suspect the presence of 2 diseases if they are to be distinguished early. This report of our experience may help to exemplify the attendant problems. Material and Results During the 10 year period ending in July, 1960, we have seen 34 patients with coexisting active or inactive pulmonary tuberculosis and primary bronchogenic carcinoma. The diagnosis of the 2 diseases has been established in each patient by demonstration of the organism and by histologic proof of the tumor from node biopsy, endobronchial biopsy, thoracotomy, or autopsy (Table 1). There were 31 white males, 2 Negro males, and 1 white female in this group. The average age was 56 years, and ages ranged from 43 to 74 years. During this time there have been 3,481 white and 1,174 Negro admissions to

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