DIFFICULTIES IN DIAGNOSIS OF DISSEMINATED PULMONARY DISEASES
Nowadays epidemiological situation of tuberculosis remains acute in many countries around the world. One indicator of unfavorable trends in TB is a growing share of disseminated tuberculosis. Differential diagnosis of the clinical form of tuberculosis has always been difficult. Differential diagnosis of pulmonary dissemination is not a universally accepted tactic. Diagnosis is based on data from clinical and radiological picture, professional route, duration of the disease, etc. 1n the obscure nature of dissemination, it is necessary to use a bioptic bronchoscopy examinations and diagnostic methods - biopsy, mediastinoscopy lymph nodes and lung tissue. Research purpose: estimate the results of transthoracic biopsy in patients with disseminated lung lesions. Materials and methods. Transthoracic lung biopsy performed 148 patients with disseminated lung lesions, which were examined in the Republican clinical tuberculosis hospital pulmonary surgical department during the period from 2013 to 2015.. The diagnosis is made by a pathological study of biopsy material. Materials were processed by variation statistics. Results and discussion. 1t was established that disseminated tuberculosis was diagnosed in 17 (11,5 ± 2,6 %) patients with pneumoconiosis - in 23 (15,5 ± 3,0 %) patients with carcinomatosis - in 28 (18,9 ± 3,2% ), sarcoidosis - 47 (31,8 ± 3,8 %), acute interstitial pneumo nitis - in 16 (10,8 ± 2,6 %), interstitial pneumonia - in 9 (6,1 ± 2,0 %), Hodgkin's disease - in 2 (1,4 ± 0,9 %>), lymphoblastic lymphosarcoma - y 1 (0,7 ± 0,7%), Wegener's granulomatosis -y 1 (0,7 ± 0,7 %), sclerotic changes in light-in 2 (1,4 ± 0,9 %). Conclusions. Thus, cases of disseminated tuberculosis among persons who were examined for the dissemination of unknown origin in the RCTH, even in the TB epidemic, made up 11.5 %.