Painful Chest Wall Swellings: Tietze Syndrome or Chest Wall Tumor?

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dc.contributor.authorKaplan, Tevfik
dc.contributor.authorGunal, Nesimi
dc.contributor.authorGulbahar, Gultekin
dc.contributor.authorKocer, Bulent
dc.contributor.authorHan, Serdar
dc.contributor.authorEryazgan, Mehmet Ali
dc.contributor.authorSakinci, Unal
dc.date.accessioned2020-06-25T18:16:42Z
dc.date.available2020-06-25T18:16:42Z
dc.date.issued2016
dc.departmentKırıkkale Üniversitesi
dc.description.abstractBackground Tietze syndrome (TS) is an inflammatory condition characterized by chest pain and swelling of costochondral junction. Primary chest wall tumors may mimic TS. In this article, we report our experience of approximately 121 patients initially diagnosed as TS and determined chest wall tumor in some cases at the follow-up. Methods This is a retrospective review of patients diagnosed as TS by clinical examination, chest X-ray, electrocardiogram, routine laboratory tests, and computed tomography (CT) of chest: all treated and followed up between March 2001 and July 2012. There were 121 cases (41 males and 80 females; mean age, 39.6 +/- 3.2 years) of TS. Results In 27 patients with initial normal radiological findings, the size of swellings had doubled during the follow-up period (mean, 8.51 +/- 2.15 months). These patients were reevaluated with chest CT and bone scintigraphy and then early diagnostic biopsy was performed. Pathologic examination revealed primary chest wall tumor in 13 patients (5 malignant, 8 benign). CT had a sensitivity of 92.3% and a specificity of 64.2% in detection of tumors (kappa: 0.56, p = 0.002), whereas the sensitivity and the specificity of bone scan were 84.6 and 35.7%, respectively (kappa: 0.199, p = 0.385). Conclusion Primary chest wall tumors could mimic TS. Bone scintigraphy or CT is not specific enough to determine malignant and other benign disorders of costochondral junction. Therefore, clinicians should follow TS patients more closely, and in case of increasing size of swelling, early diagnostic biopsy should be considered.en_US
dc.identifier.citationclosedAccessen_US
dc.identifier.doi10.1055/s-0035-1545261
dc.identifier.endpage244en_US
dc.identifier.issn0171-6425
dc.identifier.issn1439-1902
dc.identifier.issue3en_US
dc.identifier.pmid25742551
dc.identifier.scopus2-s2.0-84924362882
dc.identifier.scopusqualityQ2
dc.identifier.startpage239en_US
dc.identifier.urihttps://doi.org/10.1055/s-0035-1545261
dc.identifier.urihttps://hdl.handle.net/20.500.12587/6600
dc.identifier.volume64en_US
dc.identifier.wosWOS:000373738300011
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherGeorg Thieme Verlag Kgen_US
dc.relation.ispartofThoracic And Cardiovascular Surgeon
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectchest wall tumoren_US
dc.subjectcomputed tomographyen_US
dc.subjectsurgeryen_US
dc.subjectbone scintigraphyen_US
dc.titlePainful Chest Wall Swellings: Tietze Syndrome or Chest Wall Tumor?en_US
dc.typeArticle

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