乳腺癌手术后的胸壁肿块：诊断简单吗？

A chest wall mass after breast carcinoma surgery: a simple diagnosis?

作者信息

Minervini Fabrizio, Greuter Ladina, Kestenholz Peter, Schneider Tino, Gutmann Christine, Dutly André Emanuel

机构信息

Department of Thoracic Surgery Kantonsspital St Gallen Sankt Gallen Switzerland.

Department of Pulmonology Kantonsspital St Gallen Sankt Gallen Switzerland.

出版信息

Respirol Case Rep. 2017 May 2;5(4):e00240. doi: 10.1002/rcr2.240. eCollection 2017 Jul.

DOI:10.1002/rcr2.240

PMID:28469918

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5412839/

Abstract

Tuberculosis affects pulmonary and extra-pulmonary sites with a multitude of differing presentations. The involvement of thoracic wall is a rare entity. We report the case of a patient who had a tumefaction on the right chest wall 6 months after a right breast mastectomy. After an initial radiological suspicion of malignancy, we detected intraoperatively an abscess in which histologic examination revealed granulomas with multinucleated giant cells.

摘要

结核病可累及肺部及肺外部位，表现形式多种多样。胸壁受累是一种罕见情况。我们报告一例患者，在右乳切除术后6个月，右胸壁出现肿块。最初影像学怀疑为恶性肿瘤，术中发现一个脓肿，组织学检查显示有含多核巨细胞的肉芽肿。