TY - JOUR
T1 - Chest wall tumor tuberculosis in Indonesian adolescent
T2 - A rare case
AU - Herawati, Asih
AU - Nugraha, Jusak
AU - Winarno, Dhihintia Jiwangga Suta
AU - Rizki, Mohamad
N1 - Publisher Copyright:
© 2022 The Authors
PY - 2022/9
Y1 - 2022/9
N2 - Background: Extrapulmonary tuberculosis has increased in the last few decades, and establishing a diagnosis is still challenging. Case presentation: A 15 years old Indonesian adolescent complained of a lump on the right lung. The patient and his mother had a history of pulmonary tuberculosis and received the anti-tuberculosis drug. Chest inspection showed a soft consistency mass, smooth surface, poorly defined borders, and size of 7 × 7 cm in the posterolateral dextra region. Radiological examination showed a mass of 2 × 2.5 × 5.3 cm in the right anterior mediastinum. FNAB lymph nodes showed granulomatous inflammation consistent with tuberculosis. The patient had a wide excision tumor, and a GeneXpert MTB/RIF examination of the tumor excision material showed that Mycobacterium tuberculosis was detected very low. The patient received an anti-tuberculosis drug and had a good prognosis. Discussion: Patients with a family history of tuberculosis should be examined for tuberculosis. Although in a patient with lung carcinoma signs and symptoms, it does not rule out chest wall tuberculosis. Conclusion: Enforcement of the correct diagnosis can increase the prognosis of extrapulmonary tuberculosis.
AB - Background: Extrapulmonary tuberculosis has increased in the last few decades, and establishing a diagnosis is still challenging. Case presentation: A 15 years old Indonesian adolescent complained of a lump on the right lung. The patient and his mother had a history of pulmonary tuberculosis and received the anti-tuberculosis drug. Chest inspection showed a soft consistency mass, smooth surface, poorly defined borders, and size of 7 × 7 cm in the posterolateral dextra region. Radiological examination showed a mass of 2 × 2.5 × 5.3 cm in the right anterior mediastinum. FNAB lymph nodes showed granulomatous inflammation consistent with tuberculosis. The patient had a wide excision tumor, and a GeneXpert MTB/RIF examination of the tumor excision material showed that Mycobacterium tuberculosis was detected very low. The patient received an anti-tuberculosis drug and had a good prognosis. Discussion: Patients with a family history of tuberculosis should be examined for tuberculosis. Although in a patient with lung carcinoma signs and symptoms, it does not rule out chest wall tuberculosis. Conclusion: Enforcement of the correct diagnosis can increase the prognosis of extrapulmonary tuberculosis.
KW - Chest wall tumor
KW - Extrapulmonary tuberculosis
KW - GeneXpert
KW - Tuberculosis
UR - http://www.scopus.com/inward/record.url?scp=85137643862&partnerID=8YFLogxK
U2 - 10.1016/j.ijscr.2022.107587
DO - 10.1016/j.ijscr.2022.107587
M3 - Article
AN - SCOPUS:85137643862
SN - 2210-2612
VL - 98
JO - International Journal of Surgery Case Reports
JF - International Journal of Surgery Case Reports
M1 - 107587
ER -