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胸骨结核:肺外疾病的一种罕见表现。

Sternal tuberculosis: A rare manifestation of extrapulmonary disease.

作者信息

Benramdane Hicham, Nasri Siham, Kamaoui Imane, Skiker Imane

机构信息

Faculty of Medicine and Pharmacy, Mohammed I University, Oujda, Morocco.

Department of Radiology, Mohammed VI University Hospital, Mohammed I University, Oujda, Morocco.

出版信息

Radiol Case Rep. 2024 Oct 4;20(1):15-17. doi: 10.1016/j.radcr.2024.09.113. eCollection 2025 Jan.

DOI:10.1016/j.radcr.2024.09.113
PMID:39429715
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11488405/
Abstract

Sternal tuberculosis is a rare and challenging diagnosis. We present a case of a 63-year-old woman who presented with a progressively enlarging anterior chest wall mass and nonspecific symptoms. Imaging studies revealed a destructive sternal lesion. A biopsy confirmed the tuberculosis diagnosis. The patient responded well to anti-tuberculosis treatment. This case highlights the importance of considering tuberculosis when making a differential diagnosis of sternal masses and emphasizes the need for early diagnosis and treatment.

摘要

胸骨结核是一种罕见且具有挑战性的诊断。我们报告一例63岁女性病例,该患者出现前胸壁肿物进行性增大及非特异性症状。影像学检查显示胸骨有破坏性病变。活检确诊为结核。患者对抗结核治疗反应良好。该病例强调了在鉴别诊断胸骨肿物时考虑结核的重要性,并强调了早期诊断和治疗的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3534/11488405/c43bf240569d/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3534/11488405/c43bf240569d/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3534/11488405/c43bf240569d/gr1.jpg

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本文引用的文献

1
[Sternal tuberculosis causing spontaneous fracture of the sternum].[胸骨结核导致胸骨自发性骨折]
Rev Pneumol Clin. 2013 Apr;69(2):89-92. doi: 10.1016/j.pneumo.2013.01.003. Epub 2013 Mar 6.
2
[Sternal tuberculosis: report of 2 cases].[胸骨结核:2例报告]
Pan Afr Med J. 2012;11:33. Epub 2012 Feb 22.
3
[Tuberculosis of the sternum].[胸骨结核]
J Radiol. 2005 Jun;86(6 Pt 1):655-6. doi: 10.1016/s0221-0363(05)81422-2.
4
CT and MRI in tuberculous sternal osteomyelitis: a case report.结核性胸骨骨髓炎的CT与MRI表现:1例报告
Clin Imaging. 2002 Mar-Apr;26(2):112-5. doi: 10.1016/s0899-7071(01)00374-6.