Morris B S, Maheshwari M, Chalwa A
Department of Radiology, King Edward VII Memorial Hospital, Parel, Mumbai 400 012, India.
Br J Radiol. 2004 May;77(917):449-57. doi: 10.1259/bjr/82634045.
Tuberculous abscesses of the chest wall, though uncommon are not infrequently encountered in countries endemic to the disease. This pictorial review of 14 patients highlights the varied appearance of tuberculosis (TB) of the chest wall on CT. The patients ranged in age from 9 to 55 years (a mean of 25 years) with a preponderance of chest wall lesions in young adults and in females (male to female ratio of 2:5). Cases in which there was no involvement of the chest wall other than of the spine have been excluded. In all cases CT demonstrated peripherally enhancing chest wall collections some of which were accompanied by changes in adjacent bone. Enlargement of intrathoracic lymph nodes with comparatively lesser involvement of lung parenchyma and pleura was also seen.
胸壁结核性脓肿虽不常见,但在结核病流行国家却时有发生。这篇对14例患者的影像学综述突出了胸壁结核在CT上的多样表现。患者年龄从9岁至55岁不等(平均25岁),胸壁病变在年轻成年人及女性中更为多见(男女比例为2:5)。仅累及脊柱而无胸壁受累的病例已被排除。所有病例的CT均显示胸壁病灶周边强化,部分伴有相邻骨质改变。还可见到胸腔内淋巴结肿大,而肺实质和胸膜受累相对较轻。