scholarly journals Chest Wall Mass in Infancy: The Presentation of Bone-Tumor-Like BCG Osteitis

2020 ◽  
Vol 2020 ◽  
pp. 1-5
Author(s):  
Phumin Chaweephisal ◽  
Teesit Torchareon ◽  
Shanop Shuangshoti ◽  
Piti Techavichit

Chest wall mass in infancy is rare. Malignant lesions are more common than infection or benign tumors. This is a case of a 12-month-old girl who presented with a 2 cm mass at the right costal margin and poor weight gain. Chest radiograph demonstrated a moth-eaten osteolytic lesion at the 8th rib. The resection was performed, and a mass with pus content was found. The positive acid fast stain (AFB) organism was noted. Pathology confirmed caseous granulomatous inflammation compatible with mycobacterial infection. However, QuantiFERON-TB Gold was negative, so Mycobacterium bovis (M. bovis) osteitis is highly suspected. She was treated with antimycobacterium drugs and showed good results. Osteomyelitis can manifest by mimicking bone tumors. Without a biopsy, the pathogen may go undetected. So, interventions such as biopsy are warranted and avoid mass resection without indication. High C-reactive protein (CRP), alkaline phosphatase (ALP), periosteal reaction of radiating spicules, and penumbra sign in magnetic resonance imaging (MRI) are helpful for discriminating osteomyelitis from bone tumor.

2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Michael J. Herr ◽  
J. Macy Cottrell ◽  
H. Edward Garrett ◽  
Darryl S. Weiman

Abstract Background Erosion of a pacer lead into the chest wall may result in pericardial effusion with cardiac tamponade. Free rupture into the pleura or mediastinum can result in hypotension and cardiac arrest. Case presentation We report a unique case of a right ventricular pacer lead which eroded through the right ventricle into the left chest wall and penetrated a rib. The patient presented with a tender chest wall mass without pericardial or pleural effusion. The segment of rib which the pacing lead had penetrated was removed. Conclusions The patient tolerated the procedure well and was discharged 1 week after the operation. This case adds to the current literature the justification of removal of temporary and non-functional pacing leads.


2021 ◽  
Vol 64 ◽  
pp. 101725
Author(s):  
Danny Lascano ◽  
Michael J. Zobel ◽  
Abigail K. Zamora ◽  
Murad Alturkustani ◽  
Shengmei Zhou ◽  
...  

2016 ◽  
pp. bcr2016214797
Author(s):  
Ku Hung Hsieh ◽  
Grace Tan Hwei Ching ◽  
Angela Chong Phek Yoon ◽  
Melissa Teo

2019 ◽  
Vol 36 (1) ◽  
pp. 211-212
Author(s):  
Divya Ragate ◽  
Charanpreet Singh ◽  
Navneet Arora ◽  
Arihant Jain ◽  
Deepesh Lad ◽  
...  

CHEST Journal ◽  
2002 ◽  
Vol 121 (5) ◽  
pp. 1692-1694
Author(s):  
George S. Stoica ◽  
Harry N. Steinberg ◽  
Leonard J. Rossoff

Author(s):  
Jakob M Domm ◽  
Joanne M Langley

Empyema necessitans (EN) is a rare but dangerous complication of a lower respiratory tract infection. The diagnosis can be difficult to make and therefore delayed. We describe a case of a child with an atypical presentation of EN. He was afebrile and without chest pain and presented with a palpable chest wall mass after a history of recent respiratory infection. The threshold of suspicion for EN should be low, and it must be suspected in all children with a chest wall mass and recent history of respiratory infection.


2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
R Reid ◽  
F Alakhras Aljanadi ◽  
R Beattie ◽  
A Graham

Abstract Aim We aim to present here a case of a painless anterior chest wall mass which was first noted during routine follow up post coronary artery bypass graft surgery Case presentation An 80-year-old male developed an asymptomatic slow growing pronounced swelling over the right anterior chest wall post CABG. His other past medical history includes chronic obstructive pulmonary disease, pulmonary fibrosis, ischaemic heart disease, an AICD for complete heart block, hypertension, hyperlipidaemia and osteoarthritis. A CT scan demonstrated a 10 x 12 x 6.5 cm subcutaneous lesion at the mid-line of the lower chest wall adjacent to the xiphisternum and the previous sternotomy site. On clinical examination there was a large non-tender cystic swelling with peripheral calcifications, but overlying skin was normal. Fluid was aspirated from the lesion and cytology showed a paucicellular specimen with features in keeping with seroma. Due to the progressive increase in size patient underwent surgical resection. A gelatinous bloody fluid was aspirated from the lesion and it was then resected enbloc. The tumour base appeared to arise from 6/7th costal cartilage and tumour was shaved away. The mass was confirmed histologically to be chondrosarcoma. Conclusions Given the uncommon prevalence of malignant primary chest wall tumours this case highlights the importance of high clinical suspicion even after developing post CABG.


2011 ◽  
Vol 11 (1) ◽  
pp. 42-47
Author(s):  
Frederico Ferreira Souza ◽  
Mauricio De Angelo Andrade ◽  
Andrew Smith ◽  
Daniel B. Dei Santi

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