In patients, obtained signs of lung tumors that is a history of cough, shortness of breath, weight loss fast.

History of pulmonary tuberculosis disease 8 years ago was also a risk factor for lung cancer. The incidence of lung cancers was approximetly 11-higer in the cohort of patient with tuberculosis than non tuberculosis subjects.

Lung tumor composed of malignant epithelial tumors, sarcomas, carcinosarcoma, and pulmonary metaplasia. Epithelial malignant tumor is a malignant tumor that most frequently occur. Malignant epithelial tumors can be divided into bronkogen cancer, cancer bronkiolar, and bronchial adenoma. Bronkogen cancer consisting of cancerous epidermoid / squamous cell cancer, adenocarcinoma, carcinoma anaplastia, and mix. Bronkogen cancer associated with a history of TB lesion was squamous cell cancer. TB lession had a higher probability of having EGFR mutations, especially exon 19 delitions. Squamous cell cancer (SCC) of the lung was found in mice subjeccted to chronic infection with mycobacterial tuberculosis.

The patient has made investigation to diagnose lung tumors. thoracic images has been carried out on the patient. Answer thoracic images obtained in the consolidated picture of the right lung with tracheal and mediastinal shift to the left side. Anatomical pathology examination showed a tumor with an overview of macroscopic squamous sell thoracic reactive cells and groups of cells with pleomorphic nuclei, vesicular with children as a real core and coarse chromatin. Patients also had bronchoscopy examination, the results show there is a mass in the right main bronchus lung. CT-scan results appear opaque homogeneous in hemithoraks right top to bottom. Based on the results mentioned above, the diagnosis can be established lung tumors, lung tumor which is the kind of epidermoid carcinoma with stage IIIB. Stage IIIB enforced by category TNM for lung cancer in which the tumor mass has invaded major blood vessel invasion into the superior vena cava. It is characterized by superior vena cava syndrome. Superior vena cava syndrome is established by a shortness of breath, cough, cough history and symmetrical swelling in the neck. Patients with stage IIIB lung cancer treated with palliative chemotherapy or radiotherapy. As for the requirement does chemotherapy in patients, among others:
1. Hb 10 gr%, anemia patients without acute bleeding, although HB <10 g% do not need 2. 3. 4. 5.

transfusions of fresh blood, just given calibration according to the cause of anemia Granulocytes 1500/mm3 Trombocytes 100.00/ mm3 good liver function good renal function (creatinine clearance > 70 ml/minute)

Chemotherapy is done by using some anticancer drugs in combination chemotherapy regimens. As for the regimen include CAP II (cisplatin, adriamin, cyclophosphamide) and PE (cisplatin or carboplatin + etoposide), paclitaxel + cisplatin or karboplatin, gemsitabin + cisplatin or carboplatin, docetaxel + cisplatin or carboplatin, oral gefitinib (used as an adjuvant therapy). In patients given gemsitabin + cisplatin, at a dose gemsitabin 1250 mg/m2 and cisplatin 60 mg/m2. Surface area is 103 m2 so patient dose cisplatin gemsitabin 128.750 mg and 6180 mg. The death rate from lung cancer has increased significantly with a history of TB infection. In patients with TB, the risk of 0.511%, while healthy people the risk is much smaller, which is 0.082%