Chest wall tuberculoma with tumor-like appearance |
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Authors: | Mitsuhiro Kamiyoshihara Takashi Ibe Yasuk Iwasaki Atsushi Takise Hideaki Itou Izumi Takeyoshi |
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Affiliation: | 1. Department of General Thoracic Surgery, Maebashi Red Cross Hospital, 3-21-36 Asahi-Cho, Maebashi, Gunma 371-0014, Japan;2. Department of Respiratory Medicine, Maebashi Red Cross Hospital, Maebashi, Gunma, Japan;3. Department of Pathology, Maebashi Red Cross Hospital, Maebashi, Gunma, Japan |
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Abstract: | We report a rare case of chest tuberculoma with tumor-like appearance of which diagnosis was made by surgery. A 40-year-old woman presented to our hospital with a complaint of a right chest mass. Her past history was pulmonary tuberculosis. One year prior to this presentation, she was treated. Chest MRI revealed a solid and oval mass in the right lateral chest wall. Then, surgical resection was performed. Histopathological examinations revealed caseous necrosis, epithelioid cell granuloma, and multinucleated Langhans' giant cells, but no neoplastic cell was found. We confirmed that the mass was clinically compatible with tuberculoma. The characteristic presentation of the chest wall tuberculosis is abscess, which is frequently cystic, doughy, or soft. However, there is no report with chest wall tuberculoma as the initial presentation of tuberculous lesion arising in chest wall in a review of the English literature. |
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