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Primary chest wall tuberculosis mimicking gynecomastia: A case report
Fahmi H Kakamad1, Marwan N Hassan2, Abdulwahid M Salih3
1College of Medicine, Department Cardiothoracic and Vascular Surgery, University of Sulaimani, Sulaimani, Kurdistan, Iraq; Smart Health Tower, Madam Mitterrand Street, Sulaimani, Kurdistan, Iraq; Kscien Organization, Hamdi Str, Azadi Mall, Sulaimani, Kurdistan, Iraq.
International Journal of Surgery Case Reports
|October 20, 2020
Summary
Primary chest wall tuberculosis is a rare condition that can mimic gynecomastia. Surgical debridement and chemotherapy are effective treatments for this rare musculoskeletal TB presentation.
Area of Science:
- Orthopedics
- Infectious Diseases
- Radiology
Background:
- Musculoskeletal tuberculosis (TB) is uncommon, with chest wall involvement being exceptionally rare.
- This case highlights primary chest wall TB presenting atypically.
Observation:
- An 11-year-old male presented with a year of left breast enlargement, initially diagnosed as gynecomastia.
- Imaging revealed cystic lesions with bone erosion, suggestive of an unusual pathology.
- Surgical resection exposed thick pus and pleural thickening, with rib involvement.
Findings:
- Histopathology confirmed tuberculosis, showing granulomas with caseating material.
- The lesions extended from the chest wall into the anterior mediastinum.
Implications:
- Chest wall TB can mimic other conditions due to non-specific symptoms.
- Combined surgical debridement and postoperative chemotherapy offer the best management strategy.
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