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- Title
Retrospective case series analysing the clinical data and treatment options of patients with a tubercular abscess of the chest wall.
- Authors
Satona Tanaka; Minoru Aoki; Takao Nakanishi; Yosuke Otake; Masataka Matsumoto; Toshiyasu Sakurai; Kimihide Tada; Akihiko Ikeda
- Abstract
The tubercular abscess of the chest wall remains one of the differential diagnoses of a chest wall tumour, and the management strategy is controversial. We reviewed the medical records of 22 patients treated at our institution. Two patients were managed by antitubercular medications alone; eight patients were managed by medication and open drainage. Five patients underwent open drainage with subsequent radical surgery at a constant interval of time, and the mean duration between open drainage and radical surgery was 9.8 weeks (range, 3–12). Seven patients underwent radical surgery without prior open drainage. Five patients required rib resections, and curettage of infected pleural peel was necessary in 5 patients. Antitubercular drugs were administered basically for more than 6 months regardless of surgical management, including for more than 1 month prior to radical surgery. Postoperative empyema was seen in 1 patient after radical surgery. The mean follow-up duration was 32.8 months (range, 3–100), and there was no recurrence. Complete resection of the tubercular abscess with sufficient antitubercular therapy resulted in a satisfactory outcome. Antitubercular therapy with or without open drainage can be a viable choice.
- Publication
Interactive Cardiovascular & Thoracic Surgery, 2012, Vol 14, Issue 3, p249
- ISSN
1569-9293
- Publication type
Article
- DOI
10.1093/icvts/ivr113