Evidence map›Paper›PMID 42352470›Full record

ArticleCancers2026

Tuberculosis-Associated Scar Carcinoma in Lung Cancer: Clinicopathological and Radiological Features of a Fibrotic-Cavitary Phenotype in a Retrospective Observational Cohort.

Cristina Cioti, Irina Tica, Cristina Tocia, Nejla Dervis, Simona Buligan, Gabriela Fricatel, Denisa Gabriela Ion-Andrei, Oana Cristina Arghir

Abstract read
In one paragraph

Article in Cancers, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Cristina CiotiInternal Medicine Department, "Sf. Apostol Andrei" Emergency County Hospital, 145 Tomis Blvd., 900591 Constanta, Romania.ORCID 0000-0003-2896-6352
Irina TicaInternal Medicine Department, "Sf. Apostol Andrei" Emergency County Hospital, 145 Tomis Blvd., 900591 Constanta, Romania.
Cristina TociaGastroenterology Department, "Sf. Apostol Andrei" Emergency County Hospital, 145 Tomis Blvd., 900591 Constanta, Romania.
Nejla DervisMedicine Faculty, "Ovidius" University of Constanta, 1 Universitatii Street, 900470 Constanta, Romania.
Simona BuliganGastroenterology Department, "Sf. Apostol Andrei" Emergency County Hospital, 145 Tomis Blvd., 900591 Constanta, Romania.
Gabriela FricatelPhD School of Medicine, "Ovidius" University of Constanta, 1 University Street, 900470 Constanta, Romania.
Denisa Gabriela Ion-AndreiPhD School of Medicine, "Ovidius" University of Constanta, 1 University Street, 900470 Constanta, Romania.ORCID 0009-0000-0486-1260
Oana Cristina ArghirPhD School of Medicine, "Ovidius" University of Constanta, 1 University Street, 900470 Constanta, Romania.ORCID 0000-0001-9844-8521

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundScar carcinoma represents a distinct subtype of lung malignancy developing in areas of chronic pulmonary fibrosis, inflammation, and structural remodeling, frequently associated with previous pulmonary tuberculosis (TB). The present study aimed to evaluate the radiological, clinical, inflammatory, and histopathological characteristics associated with the scar carcinoma phenotype in patients with lung cancer (LC) and previous TB-related pulmonary abnormalities.

methodsA retrospective observational cohort study conducted between February 2020 and December 2025 included 844 patients diagnosed with lung cancer. The scar carcinoma phenotype was operationally defined by the coexistence of: (1) confirmed lung cancer, (2) post-tuberculous structural pulmonary abnormalities on thoracic imaging, and (3) clinical history compatible with prior pulmonary TB. Associations between the scar carcinoma phenotype and clinicopathological variables were evaluated using Pearson's Chi-square and Fisher's exact tests. Binary logistic regression analysis was performed to identify independent predictive factors associated with scar carcinoma. Receiver operating characteristic (ROC) curve and precision-recall curve analyses were additionally performed.

resultsPost-TB sequelae were identified in 58.2% of patients, while active TB was present in 7.8% of cases. Adenocarcinoma represented the predominant histopathological subtype (63.3%). Fibrotic/interstitial/bronchial abnormalities (67.7%), cavitary/destructive lesions (69.0%), atelectatic/retractile changes (65.4%), and infectious/inflammatory pulmonary abnormalities (60.4%) were highly prevalent. Significant associations were identified between scar carcinoma and TB sequelae (χ

conclusionsTB-associated pulmonary remodeling was strongly associated with the scar carcinoma phenotype, consistent with an associative role of chronic inflammation, fibrosis, and post-TB structural damage in lung carcinogenesis; however, causal inferences cannot be drawn from this retrospective observational design.

Indexed as

cavitary lesionslung cancerpost-tuberculosis sequelaepulmonary imagingpulmonary tuberculosisradiological overlapscar carcinoma

Identifiers

PMID42352470
PMCPMC13296693

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.