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肩胛骨、肱骨及胸壁后外侧无肺受累的结核酷似尤因肉瘤:1例罕见病例报告

Tuberculosis of the Scapula, Humerus, and Postero-Lateral Thoracic Wall Without Pulmonary Involvement Mimicking Ewing's Sarcoma: A Report of a Rare Case.

作者信息

Yadav Sankalp

机构信息

Medicine, Shri Madan Lal Khurana Chest Clinic, New Delhi, IND.

出版信息

Cureus. 2024 Apr 27;16(4):e59131. doi: 10.7759/cureus.59131. eCollection 2024 Apr.

Abstract

Tuberculosis can present in various atypical forms. The clinical manifestations could involve sites like bones. Tuberculosis of the scapula, humerus, and posterolateral thoracic wall is extremely rare, and diagnosis is challenging due to similarities with conditions like tumors. A young boy presented with swelling of the right shoulder joint for three months. The diagnosis was challenging due to similarities with Ewing's sarcoma on the initial radiometric workup. A clinical assessment and diagnostic workup with biopsy, a cartridge-based nucleic acid amplification test, and an advanced radiometric investigation resulted in a final diagnosis. He was started on antituberculous drugs for 12 months.

摘要

结核病可呈现多种非典型形式。临床表现可能累及骨骼等部位。肩胛骨、肱骨和胸壁后外侧的结核病极为罕见,由于与肿瘤等疾病相似,诊断具有挑战性。一名小男孩右肩关节肿胀三个月。由于初始影像学检查结果与尤因肉瘤相似,诊断颇具挑战性。通过临床评估以及活检、基于试剂盒的核酸扩增检测和先进的影像学检查等诊断性检查,最终得以确诊。他开始接受为期12个月的抗结核药物治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f5e1/11129533/7b897c9ec33c/cureus-0016-00000059131-i01.jpg

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