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Journal of Zhejiang University SCIENCE B 2009 Vol.10 No.5 P.375-379

http://doi.org/10.1631/jzus.B0820368


Value of video-assisted thoracoscopic surgery in the diagnosis and treatment of pulmonary tuberculoma: 53 cases analysis and review of literature


Author(s):  Kun-Yen HSU, Hwa-Chan LEE, Chien-Chih OU, Shi-ping LUH

Affiliation(s):  Department of Thoracic Medicine, Chia-Yi Christian Hospital, Chia-Yi 60069, Taiwan, China; more

Corresponding email(s):   luh572001@yahoo.com.tw

Key Words:  Tuberculoma, Video-assisted thoracoscopic surgery (VATS), Anti-tuberculosis treatment


Kun-Yen HSU, Hwa-Chan LEE, Chien-Chih OU, Shi-ping LUH. Value of video-assisted thoracoscopic surgery in the diagnosis and treatment of pulmonary tuberculoma: 53 cases analysis and review of literature[J]. Journal of Zhejiang University Science B, 2009, 10(5): 375-379.

@article{title="Value of video-assisted thoracoscopic surgery in the diagnosis and treatment of pulmonary tuberculoma: 53 cases analysis and review of literature",
author="Kun-Yen HSU, Hwa-Chan LEE, Chien-Chih OU, Shi-ping LUH",
journal="Journal of Zhejiang University Science B",
volume="10",
number="5",
pages="375-379",
year="2009",
publisher="Zhejiang University Press & Springer",
doi="10.1631/jzus.B0820368"
}

%0 Journal Article
%T Value of video-assisted thoracoscopic surgery in the diagnosis and treatment of pulmonary tuberculoma: 53 cases analysis and review of literature
%A Kun-Yen HSU
%A Hwa-Chan LEE
%A Chien-Chih OU
%A Shi-ping LUH
%J Journal of Zhejiang University SCIENCE B
%V 10
%N 5
%P 375-379
%@ 1673-1581
%D 2009
%I Zhejiang University Press & Springer
%DOI 10.1631/jzus.B0820368

TY - JOUR
T1 - Value of video-assisted thoracoscopic surgery in the diagnosis and treatment of pulmonary tuberculoma: 53 cases analysis and review of literature
A1 - Kun-Yen HSU
A1 - Hwa-Chan LEE
A1 - Chien-Chih OU
A1 - Shi-ping LUH
J0 - Journal of Zhejiang University Science B
VL - 10
IS - 5
SP - 375
EP - 379
%@ 1673-1581
Y1 - 2009
PB - Zhejiang University Press & Springer
ER -
DOI - 10.1631/jzus.B0820368


Abstract: 
tuberculoma of the lung is one of manifestations in tuberculosis and usually presents as a solitary pulmonary nodule (SPN). It is difficult to differentiate tuberculoma from SPN by other benign or malignant diseases. At present, the crucial role of video-assisted thoracoscopic surgery (VATS) in diagnosis and treatment of pulmonary diseases has been well acknowledged. Here, we reported 53 patients undergoing VATS resection for tuberculomas in our series. No postoperative mortality was found and only two patients experienced prolonged air-leakage (>7 d) and two had minor wound infections that were recovered after anti-tuberculosis or antibiotic treatment. Anti-tuberculosis chemotherapy from 6 to 12 months was routinely used postoperatively. We conclude that VATS is a satisfactory tool for the diagnosis and treatment of tuberculoma and can also establish a reliable diagnosis for all patients with SPNs.

Darkslateblue:Affiliate; Royal Blue:Author; Turquoise:Article

Reference

[1] Andreu, J., Caceres, J., Pallisa, E., Martinez-Rodriguez, M., 2004. Radiological manifestations of pulmonary tuberculosis. Eur. J. Radiol., 51(2):139-149.

[2] Ashizawa, K., Matsuyama, N., Okimoto, T., Hayashi, H., Takahashi, T., Oka, T., Nagayasu, T., Hayashi, K., 2004. Coexistence of lung cancer and tuberculoma in the same lesion: demonstration by high resolution and contrast-enhanced dynamic CT. Br. J. Radiol., 77(923):959-962.

[3] Chen, Y.J., Luh, S.P., Hsu, K.Y., Chen, C.R., Tsao, T.C., Chen, J.Y., 2008. Video-assisted thoracoscopic surgery (VATS) for bilateral primary spontaneous pneumothorax. J. Zhejiang Univ. Sci. B, 9(4):335-340.

[4] Cherkasov, V.A., Stepanov, S.A., Rudoi, E.P., 1997. Immediate and late outcomes of surgical treatment in patients with tumor-simulating pulmonary tuberculosis. Probl. Tuberk, (3):38-39 (in Russian).

[5] Congregado Loscertales, M., Giron Arjona, J.C., Jimenez Merchan, R., Arroyo Tristan, A., Arenas Linares, C., Ayarra Jarne, J., Loscertales, J., 2002. Usefulness of video-assisted thoracoscopy for the diagnosis of solitary pulmonary nodules. Arch. Bronconeumol., 38(9):415-420.

[6] Didenko, G.V., 2007. Results of surgical treatment in patients with pulmonary tuberculosis. Probl. Tuberk. Bolezn. Legk., (11):26-28 (in Russian).

[7] Good, C.A., Wilson, T.W., 1958. The solitary circumscribed pulmonary nodule: study of seven hundred five cases encountered roentgenologically in a period of three and one-half years. J. Am. Med. Assoc., 166(3):210-215.

[8] Hsueh, P.R., Liu, Y.C., So, J., Liu, C.Y., Yang, P.C., Luh, K.T., 2006. Mycobacterium tuberculosis in Taiwan. J. Infect., 52(2):77-85.

[9] Ishida, T., Yokoyama, H., Kaneko, S., Sugio, K., Sugimachi, K., Hara, N., 1992. Pulmonary tuberculoma and indications for surgery: radiographic and clinicopathological analysis. Respir. Med., 86(5):431-436.

[10] Kim, I.J., Lee, J.S., Kim, S.J., Kim, Y.K., Jeong, Y.J., Jun, S., Nam, H.Y., Kim, J.S., 2008. Double-phase 18F-FDG PET-CT for determination of pulmonary tuberculoma activity. Eur. J. Nucl. Med. Mol. Imaging, 35(4):808-814.

[11] Kim, Y.I., Goo, J.M., Kim, H.Y., Song, J.W., Im, J.G., 2001. Coexisting bronchogenic carcinoma and pulmonary tuberculosis in the same lobe: radiologic findings and clinical significance. Korean J. Radiol., 2(3):138-144.

[12] Luh, S.P., Liu, H.P., 2006. Video-assisted thoracic surgery— the past, present status and the future. J Zhejiang Univ. Sci. B, 7(2):118-128.

[13] Luh, S.P., Hsu, J.D., Lai, Y.S., Chen, S.W., 2007. Primary tuberculous infection of breast: experiences of surgical resection for aged patients and review of literature. J. Zhejiang Univ. Sci. B, 8(8):580-583.

[14] McAdams, H.P., Erasmus, J., Winter, J.A., 1995. Radiologic manifestations of pulmonary tuberculosis. Radiol. Clin. North Am., 33(4):655-678.

[15] Mitsudomi, T., Kaneko, S., Tateishi, M., Yano, T., Ishida, T., Sugimachi, K., 1990. Benign tumors and tumor-like lesions of the lung. Int. Surg., 75(3):155-158.

[16] Park, I.N., Ryu, J.S., Shim, T.S., 2008. Evaluation of therapeutic response of tuberculoma using F-18 FDG positron emission tomography. Clin. Nucl. Med., 33(1):1-3.

[17] Perel'man, M.I., Kravtsova, I.V., 1989. Is preoperative chemotherapy necessary in pulmonary tuberculoma? Probl. Tuberk, (11):19-22 (in Russian).

[18] Plachcinska, A., Mikolajczak, R., Maecke, H., Kozak, J., Michalski, A., Rzeszutek, K., Kusmierek, J., 2004. Efficacy of 99mTc-EDDA/HYNIC-TOC scintigraphy in differential diagnosis of solitary pulmonary nodules. Cancer Biother. Radiopharm., 19(5):613-620.

[19] Porkhanov, V.A., Poliakov, I.S., Kononenko, V.B., Bodnia, V.N., Merzeria, A.D., Kovalenko, A.D., Mamelov, M., 2002. Videothoracosopy in diagnosis and surgical treatment of tuberculosis. Khirurgiia (Mosk), (6):14-16 (in Russian).

[20] Prytz, S., Hansen, J.L., 1976. Surgical treatment of “tuberculoma”. A follow-up examination of patients with pulmonary tuberculosis resected on suspicion of tumour. Scand J. Thorac. Cardiovasc Surg., 10(2):179-182.

[21] Schaefer, J.F., Vollmar, J., Wiskirchen, J., Erdtmann, B., V Renteln, D., Vonthein, R., Schick, F., Claussen, C.D., Seemann, M.D., 2006. Differentiation between malignant and benign solitary pulmonary nodules with proton density weighted and ECG-gated magnetic resonance imaging. Eur. J. Med. Res., 11(12):527-533.

[22] Tateishi, U., Kusumoto, M., Akiyama, Y., Kishi, F., Nishimura, M., Moriyama, N., 2002. Role of contrast-enhanced dynamic CT in the diagnosis of active tuberculoma. Chest, 122(4):1280-1284.

[23] van Dyck, P., Vanhoenacker, F.M., van den Brande, P., de Schepper, A.M., 2003. Imaging of pulmonary tuberculosis. Eur. Radiol., 13(8):1771-1785.

[24] WHO (World Health Organization), 2008. Global Tuberculosis Control: Surveillance, Planning, Financing. http://www.who.int/tb/publications/global_report/2008/en/index.html

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