Thongngarm T, Lemos L B, Lawhon N, Harisdangkul V
University of Mississippi Medical Center, Jackson 39216, USA.
Clin Rheumatol. 2001;20(4):276-8. doi: 10.1007/pl00011203.
Chest pain is commonly caused by musculoskeletal chest wall disorders. Tietze's syndrome is a relatively rare cause of chest wall pain characterised by non-suppurative, painful swelling of the upper costal cartilages. The diagnosis should be based on these classic clinical features after excluding other potential causes of pain. A patient who was diagnosed with Tietze's syndrome but was found to have squamous cell carcinoma of the mediastinum with unknown primary site invading the sternum and anterior chest wall is presented for discussion.
胸痛通常由胸壁肌肉骨骼疾病引起。蒂策综合征是胸壁疼痛相对罕见的病因，其特征为上位肋软骨非化脓性疼痛性肿胀。在排除其他潜在疼痛原因后，应根据这些典型临床特征进行诊断。本文介绍了一名被诊断为蒂策综合征，但后来发现患有纵隔鳞状细胞癌且原发部位不明、侵犯胸骨和前胸壁的患者，以供讨论。
