Abstract: Objective To discuss the causes of misdiagnosis of lung tuberculoma and the indication and pattern of operation.Methods To analyze 108 cases diagnosed as tuberculoma operated and literature reviewed.Results 108 cases were diagnosed as tuberculoma (2.2% of total operated cases in the same period),37 misdiagnosed with 30 cases diagnosed as lung cancer (22 cases with their lesion ≤3cm in diameter),6 benign tumour,1 aspergilloma.40 cases with atypical shadow and with enlarged hilar and mideasternal lymphnodes in the chest film.85 cases (78.7%) lesions located in upper lung field.58 cases (53.8%) had symptoms as tuberculosis.30 cases were operated due to no effective Results by antiTB treatment.Conclusion Based on these results,the possibility and the existence of tuberculoma should be considered in single isolated lung lesion and it is better to have a lung biopsy for pathological examination if possible.The indication and pattern of operation in lung tuberculoma were reviewed.

Key words: Lung tuberculoma, Surgical indication