The illusion of a chest wall tumor: a case-report of sternal tuberculosis.

Morgan Daniel, Charles Ricordel, Aurélien Lorleac'h, James Norwood, Bertrand Richard De Latour, Simon Rouzé, Jean-Philippe Verhoye
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引用次数: 1

Abstract

The incidence rate of tuberculosis in developed countries is low. The most common presentation of this disease is its pulmonary form but with the increasing use of immunosuppressive drugs, extra-pulmonary tuberculosis is re-emerging. Nevertheless, sternal bone involvement is uncommon. We report the case of an eighty-three-year-old man who presented a painful sternal mass which progressed towards cutaneous ulceration. The first diagnostic hypothesis was neoplasia. The pathological and microbiological diagnosis of tuberculosis was achieved after surgical biopsy. The patient received treatment against tuberculosis for nine months enabling recovery without surgery. This case illustrates the importance of having a diagnosis prior to any kind of treatment facing any voluminous parietal thoracic lesions.  This diagnosis is made possible by surgical samples and interdisciplinary teamwork. This case underlines that tuberculosis remains a differential diagnosis that must be evoked in case of unusual bone mass.

胸壁肿瘤假象:胸骨结核1例报告。
发达国家的结核病发病率很低。这种疾病最常见的表现是肺形式,但随着免疫抑制药物的使用越来越多,肺外结核再次出现。然而,胸骨受累并不常见。我们报告的情况下,一个83岁的人谁提出了一个痛苦的胸骨肿块进展到皮肤溃疡。第一个诊断假设是肿瘤。手术活检后进行结核的病理和微生物学诊断。患者接受了9个月的结核病治疗,无需手术即可康复。这个病例说明了在任何治疗之前进行诊断的重要性,面对任何大量的胸壁病变。这种诊断是通过手术样本和跨学科团队合作实现的。这个病例强调肺结核仍然是一个鉴别诊断,必须在异常骨量的情况下唤起。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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