Pleural Tuberculosis Mimicking Inflammatory Pseudotumour
A pseudotumour is a rare presentation of bronchopulmonary tuberculosis which occurs in immunocompetent patients, which can simulate malignancy, both clinically and radiologically, and may cause delay in its diagnosis and treatment. The incidence of bronchopulmonary pseudotumours was found to var...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Private Limited
2013-04-01
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| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://jcdr.net/articles/PDF/2888/25-%204382_PF1(M)_E(C)_F(T)_PF1(M)_PF1(T)_FA(T)_PF1(PP)_u(PP).pdf |
| Summary: | A pseudotumour is a rare presentation of bronchopulmonary
tuberculosis which occurs in immunocompetent patients, which
can simulate malignancy, both clinically and radiologically, and
may cause delay in its diagnosis and treatment. The incidence of
bronchopulmonary pseudotumours was found to vary from 2-4%,
as was seen in various studies. A mycobacterial pseudotumour
of the pleura is a rare entity. We are reporting a case of a pleura
based tubercular pseudotumour in a 59 years old patient who
presented with a four month history of the nonspecific symptoms
of cough and chest pain. The radiological investigations showed
that a pleural based mass lesion was occupying the right lower
hemithorax. The initial biopsy was suggestive of a hyalinizing variant
of an inflammatory pseudotumour. The follow-up surgical resected
mass was consistent with the features of a tubercular granuloma.
The clinical presentation and the histopathological findings have
been presented, with a brief review of the literature. Due to its
varied and unusual presentation, bronchopulmonary tuberculosis
should always be kept in mind when a patient with a similar clinical
and a radiological picture is being evaluated. |
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| ISSN: | 2249-782X 0973-709X |