#35 | GMJ Podcast | Lung Adenocarcinoma and Tuberculous Lymphadenitis — Diagnostic Challenges in a Rare Case

In this episode of the GMJ Podcast — the official podcast of the Georgian Medical Journal — we present a newly published case report describing the coexistence of bronchopulmonary adenocarcinoma and tuberculous lymphadenitis, diagnosed through CT-guided biopsy.The article is authored by Aymar Kassa Boukat (ORCID: 0009-0004-2064-8362), Massine El Hammoumi (ORCID: 0000-0001-6892-8444), Benameur Yassir (ORCID: 0000-0003-4611-1753), and El Hassane Kabiri (ORCID: 0000-0001-5514-8983), affiliated with the Military Teaching Hospital Mohammed V and University Mohammed V, Rabat, Morocco.This rare case highlights the diagnostic complexity associated with the coexistence of malignant and infectious processes within the thoracic lymphatic system. Differentiating between metastatic lymph node involvement and tuberculous lymphadenitis presents a significant clinical challenge, particularly in settings where tuberculosis remains prevalent.The report emphasises the critical role of CT-guided biopsy and histopathological confirmation in establishing an accurate diagnosis. It also demonstrates how misclassification of lymph node pathology may affect TNM staging and lead to inappropriate therapeutic decisions.The findings underline the importance of integrated diagnostic strategies combining imaging, microbiological assessment, and pathology, as well as coordinated oncological and anti-tuberculosis management.Read the articlehttps://gmj.ge/index.php/pub/article/view/17PDF versionhttps://gmj.ge/index.php/pub/article/view/17/10DOIhttps://doi.org/10.5281/zenodo.19053394Citation:Boukat AK, El Hammoumi M, Yassir B, Kabiri EH. Coexistence of Bronchopulmonary Adenocarcinoma and Tuberculous Lymphadenitis Diagnosed by CT-Guided Biopsy: A Rare Case Report and Literature Review. Georgian Medical Journal. 2026.https://doi.org/10.5281/zenodo.19053394