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Chirurgia 2010 June;23(3):89-91

language: English

Tuberculoma of the diaphragm

Inoue Y. 1, Yamada S. 1, Suga A. 1, Sekido Y. 2, Shiraishi K. 3, Iwazaki M. 4

1 Department of General Thoracic Surgery, Tokai University Hachioji Hospital, Ishikawa-cho, Hachioji, Tokyo, Japan
2 Department of Pathology, Tokai University Hachioji Hospital, Ishikawa-cho, Hachioji, Tokyo, Japan
3 Department of Gastroenterology, Tokai University Hachioji Hospital, Ishikawa-cho, Hachioji, Tokyo, Japan
4 Department of General Thoracic Surgery, Tokai University School of Medicine, Bohseidai, Isehara, Kanagawa, Japan


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We present a very rare case of tuberculoma of the diaphragm. An 84-year-old asymptomatic woman without a history of malignancy or tuberculosis was found by abdominal ultrasonography to have a diaphragmatic mass. Computed tomography showed a 2cmx1cm cystic mass located in the posterior part of the costphrenic angle, with calcification. Positron emission tomography showed a hot spot in the lesion. Malignancy was suspected and surgical resection was performed by the video-assisted transthoracic approach. Histopathological examination of the resected tumor revealed it to be a tuberculoma of the diaphragm. Antituberculous treatment was started postoperatively, and at present, 10 months after the surgery, the patient, under follow-up at the outpatient department, is doing well. The possibility of a tuberculous infection should be considered in patients with a suspected tumor of the diaphragm showing a positive PET.

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