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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.
    Author: Tanaka S, Aoki M, Nakanishi T, Otake Y, Matsumoto M, Sakurai T, Tada K, Ikeda A.
    Journal: Interact Cardiovasc Thorac Surg; 2012 Mar; 14(3):249-52. PubMed ID: 22184463.
    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.
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