Research status of surgical diagnosis and treatment of chest wall tuberculosis_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

 ZHONG Yi ¹ , LU Xingshi ¹ , CHEN Kang ² ,  MA Jinshan ³

1. Xinjiang Clinical Medical College, Anhui Medical University, Urumqi, 830000, P.R.China;
2. Department of Thoracic Surgery, Xingjiang Autonomous Region People’s Hospital, Urumqi, 830000, P.R.China;
3. Department of Thoracic Surgery, Xinjiang Uygur Autonomous Region Chest Hospital, Urumqi, 830000, P.R.China;

Corresponding?author：

ZHONG Yi, Email: 1348298839@qq.com; MA Jinshan, Email: xjmajinshan@sina.com

Keywords：

Chest wall tuberculosis; tuberculosis; treat; diagnosis

DOI：

10.7507/1007-4848.201811057

Video：

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Chest wall tuberculosis is a common extra-pulmonary tuberculosis, which often occurs in lung or pleura tuberculosis, or coexists with tuberculosis in other parts. The final manifestation of the disease is cold abscess on the chest wall, chronic sinuses with repeated exudation after the abscess is broken. At present, There were a series of problems in the diagnosis, treatment, and extremely prognosis of tuberculosis of the chest wall. Therefore, we reviewed the diagnosis of chest wall tuberculosis, including B-ultrasound, chest CT and positron emission tomography/computed tomography (PET/CT), tuberculous infectin of T cells spot test (T-SPOT TB), pathological examination. The related treatments including medical treatment, surgical treatment and other local treatment in order to better understand the chest wall tuberculosis.

Citation： ZHONG Yi, LU Xingshi, CHEN Kang, MA Jinshan. Research status of surgical diagnosis and treatment of chest wall tuberculosis. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2019, 26(9): 926-932. doi: 10.7507/1007-4848.201811057 Copy

1.	Abass AM, Osama S, Khaled MA, et al. Multiple abscess of the chest wall; rare complication of pulmonary tuberculosis. Internet J Infect, 2014, 1(13): 68-70.
2.	Bergeron EJ, Meguid RA. Chronic infections of the chest wall. Thorac Surg Clin, 2017, 27(2): 87-97.
3.	Lim SY, Pyon JK, Mun GH, et al. Reconstructive surgical treatment of tuberculosis abscess in the chest wall. Ann Plast Surg, 2010, 64(3): 302-306.
4.	Minervini F, Greuter L, Kestenholz P, et al. A chest wall mass after breast carcinoma surgery: a simple diagnosis? Respirol Case Rep, 2017, 5(4): e00240.
5.	Yousefi F, Nashibi R, Behmanesh F, et al. Photoclinic. Arch Iran Med, 2015, 18(5): 329-330.
6.	劉罩明, 成瑞明, 徐靜, 等. 超聲在胸壁結核診治中的應用價值. 醫學信息, 2015, 28(7): 53.
7.	張更臣, 曹兵生, 黎曉林, 等. 高頻超聲診斷胸壁結核48例分析. 中國誤診學雜志, 2009, 9(6): 1435-1436.
8.	Han YI, Zhao Q, Yu D. Treatment of chest wall tuberculosis with transdermal ultrasound-mediated drug delivery. Exp Ther Med, 2015, 9(4): 1433-1437.
9.	Hazir C, Kanzaki N, Gulcu B, et al. Reverse taxonomy reveals Pristionchus maupasi(Diplogasterida: Diplogastridae) association with the soil-dwelling bee Andrena optata (Hymenoptera: Andrenidae) in Turkey. Fla Entomol, 2015, 98(1): 364-367.
10.	Zhang N, Xu QZ, Fu XN, et al. Use of a pedicled omental flap in the treatment of chest wall tuberculosis. Ann Thorac Surg, 2012, 93(3): 1010-1012.
11.	徐靜, 吳榮秀. 超聲彩色多普勒在診斷胸壁結核的臨床研究. 國際生物醫學工程雜志, 2012, 35(2): 125-128.
12.	Boruah DK, Sanyal S, Sharma BK, et al. Role of cross sectional imaging in isolated chest wall tuberculosis. J Clin Diagn Res, 2017, 11(1): TC01-TC06.
13.	Laurens KR, Luo L, Matheson SL, et al. Common or distinct pathways to psychosis? A systematic review of evidence from prospective studies for developmental risk factors and antecedents of the schizophrenia spectrum disorders and affective psychoses. BMC Psychiatry, 2015, 15(205): 1-20.
14.	李永波, 霍雪娥, 解建毅, 等. 胸部CT聯合高頻超聲診斷胸壁結核的臨床價值. 中國醫療設備, 2017, 32(8): 64-67.
15.	Otsuka T, Hosokai R, Watanabe T, et al. Subcutaneous chest wall abscess as a complication of BCG vaccination. Pediatr Int, 2017, 59(11): 1206-1208.
16.	Meller J, Sahlmann CO, Scheel AK. 18F-FDG PET and PET/CT in fever of unknown origin. J Nucl Med, 2007, 48(1): 35-45.
17.	Harkirat S, Anana SS, Indrajit LK, et al. Pictorial essay: PET/CT in tuberculosis. Indian J Radiol Imaging, 2008, 18(2): 141-147.
18.	Goo JM, Im JG, Do KH, et al. Pulmonary tuberculoma evaluated by means of FDG PET: Findings in 10 cases. Radiology, 2000, 216(1): 117-121.
19.	Sheikh G, Neela VSK, Pydi SS, et al. Genetic association of interferon gamma induced protein-10(IP-10), 10 gene polymorphisms with TB pleurisy susceptibility in south Indian population. Open J Immunol, 2015, 5: 72-78.
20.	Gao Y, Ou Q, Huang F, et al. Improved diagnostic power by combined interferon-gamma release assay and nested-PCR in tuberculous pleurisy in high tuberculosis prevalence area. FEMS Immunol Med Microbiol, 2012, 66(3): 393-398.
21.	Kobashi Y, Mouri K, Obase Y, et al. Clinical application of T-SPOT. TB using pleural effusion as a diagnostic method for tuberculosis infection. Open J Respir Dis, 2014, 4: 64-72.
22.	Zhang M, Xiong D, Li H. Diagnostic value of T-Spot TB combined with INF-γ And IL-27 in tuberculous pleurisy. Exp Ther Med, 2018, 15(2): 1871-1874.
23.	Aliannejad R, Bahrmand A, Abtahi H, et al. Accuracy of a new rapid antigen detection test for pulmonary tuberculosis. Iran J Microbiol, 2016, 8(4): 238-242.
24.	Greco S, Girardi E, Navarra A, et al. Current evidence on diagnostic accuracy of commercially based nucleic acid amplification tests for the diagnosis of pulmonary tuberculosis. Thorax, 2006, 61(9): 783-790.
25.	Keum DY, Kim JB. Surgical treatment of a tuberculous abscess of the chest wall. Korean J Thorac Cardiovasc Surg, 2012, 45(3): 177-182.
26.	Bi A, Nakajima C, Fukushima Y, et al. A rapid loop-mediated isothermal amplification assay targeting HSPX for the detection of Mycobacterium tuberculosis complex. Jpn J Infect Dis, 2012, 65(3): 247-251.
27.	Faure E, Souilamas R, Riquet M, et al. Cold abscess of the chest wall: a surgical entity? Ann Thorac Surg, 1998, 66(4): 1174-1178.
28.	Sharma S, Mahajan RK, Myneedu VP, et al. Primary tubercular chest wall abscess in a young immunocompetent male. Case Rep Pulmonol, 2014, 2014: 357456.
29.	Hussain S. Chest wall tuberculous ulcer: A rare complication of pulmonary tuberculosis. Indian J Tuberc, 2016, 63(4): 265-267.
30.	Santos JB, Figueiredo AR, Ferraz CE, et al. Cutaneous tuberculosis: epidemiologic, etiopathogenic and clinical aspects- part I. An Bras Dermatol, 2014, 89(2): 219-228.
31.	Khalil A, Le Breton C, Tassart M, et al. Utility of CT scan for the diagnosis of chest wall tuberculosis. Eur radiol, 1999, 9(8): 1638-1642.
32.	王霞. 含左氧氟沙星方案對復治肺結核患者的近期療效觀察. 臨床合理用藥雜志, 2011, 6(19): 224.
33.	Deng B, Tan QY, Wang RW, et al. Surgical strategy for tubercular abscess in the chest wall: experience of 120 cases. Eur J Cardiothorac Surg, 2012, 41(6): 1349-1352.
34.	Tanaka S, Aoki M, Nakanishi T, et al. Retrospective case series analysing the clinical data and treatment options of patients with a tubercular abscess of the chest wall. Interact Cardiovasc Thorac Surg, 2012, 14(3): 249-252.
35.	Smaoui S, Amine MM, Hammami B, et al. Tuberculosis lymphadenitis in a southeastern region in Tunisia: Epidemiology, clinical features, diagnosis and treatment. Int J Mycobacteriol, 2015, 4(3): 196-201.
36.	Sakuraba M, Sagara Y, Komatsu H. Surgical treatment of tuberculous abscess in the chest wall. Ann Thorac Surg, 2005, 79(3): 964-967.
37.	Kim YT, Han KN, Kang CH, et al. Complete resection is mandatory for tubercular cold abscess of the chest wall. Ann Thorac Surg, 2008, 85(1): 273-277.
38.	Yang H, Zhao H, Garfield DH, et al. Endobronchial ultrasound guided transbronchial needed aspiratio in the diagnosis of nonlymph node thoracic lesions. Ann Thorac Med, 2013, 8(1): 14-21.
39.	Oruc M, Atay AE, Karabulut P, et al. An unusual case of cavernous hemangioma of the rib in a young man with lung tuberculosis:a brief review and case report. Inter Med, 2013, 52(11): 1263-1265.
40.	Zidane A, Bakzaza O, Afandi O, et al. Chest wall tuberculosis: report of 3 cases. Rev Pneumol Clin, 2015, 71(5): 290-293.
41.	王章恩, 解記臣, 孫留安, 等. 胸壁結核手術時機與術式的選擇. 航空航天醫藥, 2010, 21(4): 529-530.
42.	王偉, 李前生, 侯慶寶, 等. 149例胸壁結核的外科治療體會. 中國實用外科雜志, 1997, (5): 40.
43.	錢勇, 楊繼承, 袁躍西. 120例胸壁結核外科治療體會. 中國現代手術學雜志, 2011, 15(5): 364-365.
44.	何革, 徐旭東, 葉波, 等. 復發性胸壁結核局部病灶的相關處理措施分析. 中華醫院感染學雜志, 2013, 23(7): 1562-1563.
45.	齊冬, 景凱, 張大義. 38例胸壁結核的外科治療. 中國臨床研究, 2010, 23(5): 396-397.
46.	路立軍, 朱德成, 陳萬生, 等. 胸壁結核術后復發的手術治療及預防. 中國醫刊, 2012, 47(10): 75-76.
47.	詹鋒, 姜鐳, 曾志強, 等. 負壓封閉引流技術在胸壁結核治療的應用(附38例報道). 嶺南現代臨床外科, 2012, 12(1): 54-55.
48.	Kuzucu A, Soysal O. The role of surgery in chest wall tuberculosis. Interact Cardiovasc Thorac Surg, 2004, 3(1): 99-103.
49.	周玲霞, 金紅玉, 樓敏, 等. 不同干預策略對胸壁結核易復發因素的研究. 中華醫院感染學雜志, 2015, 25(13): 3031-3033.
50.	TB India 2014 Revised National TB Control Programme Annual status report, Central TB Division, Directorate General of Health Services, Ministry of Health and Family Welfare, 2014.
51.	Lavon I, Grossman N and Kost J. The nature of ultrasound-SLS synergism during enhanced transdermal transport. J Control Release, 2005, 107(3): 484-494.
52.	Schoellhammer CM, Polat BE, Mendenhall J, et al. Rapid skin permeabilization by the simultaneous application of dual-frequency, high-intensity ultrasound. J Control Release, 2012, 163(2): 154-160.
53.	Botisnu AM, Botinu PV. Modified thoraco-mediastinal placation (Andrews thoracoplasty) for post-pneumonectomy empyema:experience with 30 consecutive cases. Interact Cardiovasc Thoracic Surg, 2013, 16(2): 173-177.
54.	胡欣春, 韓斌德, 王大江, 等. 中西醫結合治療胸壁結核療效觀察. 中醫中藥, 2012, 31(19): 107.
55.	張曉萍. 中西醫結合治療胸壁結核100例分析. 內蒙古醫學雜志, 2010, 42(S6): 163.
56.	劉衛華, 左濤, 倪正義. 胸腔鏡在治療胸壁結核中的應用價值. 臨床肺科雜志, 2015, 20(10): 1916-1918.
57.	Orr MT, FoxCB, Baldwin SL, et al. Adjuvant formulation structure and composition are critical for the development of an effective vaccine against tuberculosis. J Control Release, 2013, 172(1): 190-200.
58.	Rohini K. Structural insights on mycobacterium tuberculosis thiazole synthase--a molecular dynamics/docking approach. Appl Biochem Biotechnol, 2013, 169(6): 1790-1798.
59.	周雨, 梁雄斌, 游長勝, 等. 胸腺五肽聯合常規抗結核治療在胸壁結核術后患者中的應用效果觀察. 白求恩醫學雜志, 2017, 15(6): 746-748.

1. Abass AM, Osama S, Khaled MA, et al. Multiple abscess of the chest wall; rare complication of pulmonary tuberculosis. Internet J Infect, 2014, 1(13): 68-70.
2. Bergeron EJ, Meguid RA. Chronic infections of the chest wall. Thorac Surg Clin, 2017, 27(2): 87-97.
3. Lim SY, Pyon JK, Mun GH, et al. Reconstructive surgical treatment of tuberculosis abscess in the chest wall. Ann Plast Surg, 2010, 64(3): 302-306.
4. Minervini F, Greuter L, Kestenholz P, et al. A chest wall mass after breast carcinoma surgery: a simple diagnosis? Respirol Case Rep, 2017, 5(4): e00240.
5. Yousefi F, Nashibi R, Behmanesh F, et al. Photoclinic. Arch Iran Med, 2015, 18(5): 329-330.
6. 劉罩明, 成瑞明, 徐靜, 等. 超聲在胸壁結核診治中的應用價值. 醫學信息, 2015, 28(7): 53.
7. 張更臣, 曹兵生, 黎曉林, 等. 高頻超聲診斷胸壁結核48例分析. 中國誤診學雜志, 2009, 9(6): 1435-1436.
8. Han YI, Zhao Q, Yu D. Treatment of chest wall tuberculosis with transdermal ultrasound-mediated drug delivery. Exp Ther Med, 2015, 9(4): 1433-1437.
9. Hazir C, Kanzaki N, Gulcu B, et al. Reverse taxonomy reveals Pristionchus maupasi(Diplogasterida: Diplogastridae) association with the soil-dwelling bee Andrena optata (Hymenoptera: Andrenidae) in Turkey. Fla Entomol, 2015, 98(1): 364-367.
10. Zhang N, Xu QZ, Fu XN, et al. Use of a pedicled omental flap in the treatment of chest wall tuberculosis. Ann Thorac Surg, 2012, 93(3): 1010-1012.
11. 徐靜, 吳榮秀. 超聲彩色多普勒在診斷胸壁結核的臨床研究. 國際生物醫學工程雜志, 2012, 35(2): 125-128.
12. Boruah DK, Sanyal S, Sharma BK, et al. Role of cross sectional imaging in isolated chest wall tuberculosis. J Clin Diagn Res, 2017, 11(1): TC01-TC06.
13. Laurens KR, Luo L, Matheson SL, et al. Common or distinct pathways to psychosis? A systematic review of evidence from prospective studies for developmental risk factors and antecedents of the schizophrenia spectrum disorders and affective psychoses. BMC Psychiatry, 2015, 15(205): 1-20.
14. 李永波, 霍雪娥, 解建毅, 等. 胸部CT聯合高頻超聲診斷胸壁結核的臨床價值. 中國醫療設備, 2017, 32(8): 64-67.
15. Otsuka T, Hosokai R, Watanabe T, et al. Subcutaneous chest wall abscess as a complication of BCG vaccination. Pediatr Int, 2017, 59(11): 1206-1208.
16. Meller J, Sahlmann CO, Scheel AK. 18F-FDG PET and PET/CT in fever of unknown origin. J Nucl Med, 2007, 48(1): 35-45.
17. Harkirat S, Anana SS, Indrajit LK, et al. Pictorial essay: PET/CT in tuberculosis. Indian J Radiol Imaging, 2008, 18(2): 141-147.
18. Goo JM, Im JG, Do KH, et al. Pulmonary tuberculoma evaluated by means of FDG PET: Findings in 10 cases. Radiology, 2000, 216(1): 117-121.
19. Sheikh G, Neela VSK, Pydi SS, et al. Genetic association of interferon gamma induced protein-10(IP-10), 10 gene polymorphisms with TB pleurisy susceptibility in south Indian population. Open J Immunol, 2015, 5: 72-78.
20. Gao Y, Ou Q, Huang F, et al. Improved diagnostic power by combined interferon-gamma release assay and nested-PCR in tuberculous pleurisy in high tuberculosis prevalence area. FEMS Immunol Med Microbiol, 2012, 66(3): 393-398.
21. Kobashi Y, Mouri K, Obase Y, et al. Clinical application of T-SPOT. TB using pleural effusion as a diagnostic method for tuberculosis infection. Open J Respir Dis, 2014, 4: 64-72.
22. Zhang M, Xiong D, Li H. Diagnostic value of T-Spot TB combined with INF-γ And IL-27 in tuberculous pleurisy. Exp Ther Med, 2018, 15(2): 1871-1874.
23. Aliannejad R, Bahrmand A, Abtahi H, et al. Accuracy of a new rapid antigen detection test for pulmonary tuberculosis. Iran J Microbiol, 2016, 8(4): 238-242.
24. Greco S, Girardi E, Navarra A, et al. Current evidence on diagnostic accuracy of commercially based nucleic acid amplification tests for the diagnosis of pulmonary tuberculosis. Thorax, 2006, 61(9): 783-790.
25. Keum DY, Kim JB. Surgical treatment of a tuberculous abscess of the chest wall. Korean J Thorac Cardiovasc Surg, 2012, 45(3): 177-182.
26. Bi A, Nakajima C, Fukushima Y, et al. A rapid loop-mediated isothermal amplification assay targeting HSPX for the detection of Mycobacterium tuberculosis complex. Jpn J Infect Dis, 2012, 65(3): 247-251.
27. Faure E, Souilamas R, Riquet M, et al. Cold abscess of the chest wall: a surgical entity? Ann Thorac Surg, 1998, 66(4): 1174-1178.
28. Sharma S, Mahajan RK, Myneedu VP, et al. Primary tubercular chest wall abscess in a young immunocompetent male. Case Rep Pulmonol, 2014, 2014: 357456.
29. Hussain S. Chest wall tuberculous ulcer: A rare complication of pulmonary tuberculosis. Indian J Tuberc, 2016, 63(4): 265-267.
30. Santos JB, Figueiredo AR, Ferraz CE, et al. Cutaneous tuberculosis: epidemiologic, etiopathogenic and clinical aspects- part I. An Bras Dermatol, 2014, 89(2): 219-228.
31. Khalil A, Le Breton C, Tassart M, et al. Utility of CT scan for the diagnosis of chest wall tuberculosis. Eur radiol, 1999, 9(8): 1638-1642.
32. 王霞. 含左氧氟沙星方案對復治肺結核患者的近期療效觀察. 臨床合理用藥雜志, 2011, 6(19): 224.
33. Deng B, Tan QY, Wang RW, et al. Surgical strategy for tubercular abscess in the chest wall: experience of 120 cases. Eur J Cardiothorac Surg, 2012, 41(6): 1349-1352.
34. Tanaka S, Aoki M, Nakanishi T, et al. Retrospective case series analysing the clinical data and treatment options of patients with a tubercular abscess of the chest wall. Interact Cardiovasc Thorac Surg, 2012, 14(3): 249-252.
35. Smaoui S, Amine MM, Hammami B, et al. Tuberculosis lymphadenitis in a southeastern region in Tunisia: Epidemiology, clinical features, diagnosis and treatment. Int J Mycobacteriol, 2015, 4(3): 196-201.
36. Sakuraba M, Sagara Y, Komatsu H. Surgical treatment of tuberculous abscess in the chest wall. Ann Thorac Surg, 2005, 79(3): 964-967.
37. Kim YT, Han KN, Kang CH, et al. Complete resection is mandatory for tubercular cold abscess of the chest wall. Ann Thorac Surg, 2008, 85(1): 273-277.
38. Yang H, Zhao H, Garfield DH, et al. Endobronchial ultrasound guided transbronchial needed aspiratio in the diagnosis of nonlymph node thoracic lesions. Ann Thorac Med, 2013, 8(1): 14-21.
39. Oruc M, Atay AE, Karabulut P, et al. An unusual case of cavernous hemangioma of the rib in a young man with lung tuberculosis:a brief review and case report. Inter Med, 2013, 52(11): 1263-1265.
40. Zidane A, Bakzaza O, Afandi O, et al. Chest wall tuberculosis: report of 3 cases. Rev Pneumol Clin, 2015, 71(5): 290-293.
41. 王章恩, 解記臣, 孫留安, 等. 胸壁結核手術時機與術式的選擇. 航空航天醫藥, 2010, 21(4): 529-530.
42. 王偉, 李前生, 侯慶寶, 等. 149例胸壁結核的外科治療體會. 中國實用外科雜志, 1997, (5): 40.
43. 錢勇, 楊繼承, 袁躍西. 120例胸壁結核外科治療體會. 中國現代手術學雜志, 2011, 15(5): 364-365.
44. 何革, 徐旭東, 葉波, 等. 復發性胸壁結核局部病灶的相關處理措施分析. 中華醫院感染學雜志, 2013, 23(7): 1562-1563.
45. 齊冬, 景凱, 張大義. 38例胸壁結核的外科治療. 中國臨床研究, 2010, 23(5): 396-397.
46. 路立軍, 朱德成, 陳萬生, 等. 胸壁結核術后復發的手術治療及預防. 中國醫刊, 2012, 47(10): 75-76.
47. 詹鋒, 姜鐳, 曾志強, 等. 負壓封閉引流技術在胸壁結核治療的應用(附38例報道). 嶺南現代臨床外科, 2012, 12(1): 54-55.
48. Kuzucu A, Soysal O. The role of surgery in chest wall tuberculosis. Interact Cardiovasc Thorac Surg, 2004, 3(1): 99-103.
49. 周玲霞, 金紅玉, 樓敏, 等. 不同干預策略對胸壁結核易復發因素的研究. 中華醫院感染學雜志, 2015, 25(13): 3031-3033.
50. TB India 2014 Revised National TB Control Programme Annual status report, Central TB Division, Directorate General of Health Services, Ministry of Health and Family Welfare, 2014.
51. Lavon I, Grossman N and Kost J. The nature of ultrasound-SLS synergism during enhanced transdermal transport. J Control Release, 2005, 107(3): 484-494.
52. Schoellhammer CM, Polat BE, Mendenhall J, et al. Rapid skin permeabilization by the simultaneous application of dual-frequency, high-intensity ultrasound. J Control Release, 2012, 163(2): 154-160.
53. Botisnu AM, Botinu PV. Modified thoraco-mediastinal placation (Andrews thoracoplasty) for post-pneumonectomy empyema:experience with 30 consecutive cases. Interact Cardiovasc Thoracic Surg, 2013, 16(2): 173-177.
54. 胡欣春, 韓斌德, 王大江, 等. 中西醫結合治療胸壁結核療效觀察. 中醫中藥, 2012, 31(19): 107.
55. 張曉萍. 中西醫結合治療胸壁結核100例分析. 內蒙古醫學雜志, 2010, 42(S6): 163.
56. 劉衛華, 左濤, 倪正義. 胸腔鏡在治療胸壁結核中的應用價值. 臨床肺科雜志, 2015, 20(10): 1916-1918.
57. Orr MT, FoxCB, Baldwin SL, et al. Adjuvant formulation structure and composition are critical for the development of an effective vaccine against tuberculosis. J Control Release, 2013, 172(1): 190-200.
58. Rohini K. Structural insights on mycobacterium tuberculosis thiazole synthase--a molecular dynamics/docking approach. Appl Biochem Biotechnol, 2013, 169(6): 1790-1798.
59. 周雨, 梁雄斌, 游長勝, 等. 胸腺五肽聯合常規抗結核治療在胸壁結核術后患者中的應用效果觀察. 白求恩醫學雜志, 2017, 15(6): 746-748.

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Research status of surgical diagnosis and treatment of chest wall tuberculosis

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