Costosternal Chondrodynia Simulating Recurrent Breast Cancer Unveiled by FDG PET

Mathew, Anita; El-Haddad, Ghassan; Lilien, David L.; Takalkar, Amol

doi:10.1097/rlu.0b013e31816a7a38

Cited by 11 publications

(3 citation statements)

References 13 publications

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“…Thoracic CT can be also performed for differential diagnoses. [ 15 ] All of our patients underwent diagnostic imaging studies which did not reveal any pathological findings.…”

Section: Discussionmentioning

confidence: 99%

Local treatment of pain in Tietze syndrome: A single-center experience

Yildiz¹,

Inan²,

Ağababaoğlu³

et al. 2021

Turk Gogus Kalp Dama

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Background: In this study, we present our experiences with local injections of triamcinolone and prilocaine in patients diagnosed with Tietze syndrome. Methods: Between January 2016 and January 2019, a total of 28 patients (12 males, 16 females; median age: 33 years; range, 21 to 51 years) who were diagnosed with TS in our clinic were retrospectively analyzed. Triamcinolone hexacetonide and prilocaine hydrochloride were injected into painful joints. At first week, pain sensation of the patients was recorded using the Pain Rating Scale developed by the British Pain Society. Pain was also assessed at one, two, and three weeks after injections qualitatively and based on physical examination. Results: At one week, the pain severity before the local injection treatment was above average the pain-related discomfort rates, and the response was quite favorable after the treatment (p=0.005 and p=0.001, respectively). A statistically significant rating was observed for treatment response and success (p=0.003). Totally 75% of the patients experienced more than 70% reduction in pain level after the injection. Conclusion: Our treatment approach involving injection of a mixture of steroid and a local anesthetic provides a rapid relief from pain, irrespective of age, sex, or employment status in patients diagnosed with Tietze syndrome.

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“…Thoracic CT can be also performed for differential diagnoses. [ 15 ] All of our patients underwent diagnostic imaging studies which did not reveal any pathological findings.…”

Section: Discussionmentioning

confidence: 99%

Local treatment of pain in Tietze syndrome: A single-center experience

Yildiz¹,

Inan²,

Ağababaoğlu³

et al. 2021

Turk Gogus Kalp Dama

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show abstract

“…The only confirmatory investigation for this is fluorodeoxyglucose positron emission tomography (FDG PET) that is expensive and not easily accessible. 4 Tietze syndrome was the closest differential diagnosis, but we could effectively exclude that from clinical presentation and ultrasound. It is characterized by localized swellings in the regions of pain along with radiation to ipsilateral shoulder and arm.…”

Section: Discussionmentioning

confidence: 99%

Ultrasound-guided Intercostal Nerve Block in Chronic Musculoskeletal Chest Pain: A Case Report

Sahu¹,

Vasudeva²,

Handa³

2017

Indian Journal of Physical Medicine and Rehabilitation

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Introduction: Chronic musculoskeletal chest pain, though not life-threatening, is a disabling condition and is often left untreated or improperly managed. Case description: A 45-year-old male presented with pain in the lower part of the left lateral chest wall (visual analog scale (VAS) for pain = 6) for the last 4 months aggravating with deep inspiration (VAS = 7). On examination, there was grade III tenderness over anterior end of the 10th rib but no swelling. Examination of both upper limbs (including shoulder joints), spine, and abdomen was unremarkable. Cardiac and respiratory systems were within normal limits. We investigated the patient to exclude various differential diagnoses. Ultrasound evaluation of the 10th rib at the most tender point was suggestive of costochondritis. Three weeks of conservative management yielded inadequate relief (VAS = 6, both at rest and deep inspiration). As a case of recalcitrant costochondritis, ultrasound-guided intercostal nerve block was performed for the left 9th and 10th intercostal nerves. The patient achieved immediate reduction in pain at rest (VAS = 2) and deep inspiration (VAS = 3). At 2 weeks of follow-up, pain reduced further (VAS = 1) both at rest and deep inspiration. At 4 weeks of follow-up, pain reduced completely (VAS = 0) both at rest and deep inspiration. Conclusion:The ultrasound-guided intercostal nerve block is a relatively simple day-care procedure that can prove effective in a properly selected patient. Despite perceived simplicity of the procedure, there are risks involved that should be carefully considered while planning and performing the procedure.

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“…While swelling is considered a hallmark of Tietze's Syndrome, it may only indicate the severity of disease [15]. Several cases of malignancy misdiagnosed as Tietze's Syndrome have underscored the importance of making an accurate diagnosis [16][17][18][19][20][21][22]. In addition one must be wary of the possibility of concurrent cardiac pathology [23].…”

Section: Discussionmentioning

confidence: 99%

Tietze’s Syndrome in the emergency department: A rare etiology of atraumatic chest pain

Grodin¹,

Farina²

2013

CRCM

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Tietze's Syndrome is an uncommon disorder that presents with painful, tender, non-suppurative swelling of the anterior chest wall. We report a case of a female patient who presented to the emergency department with a chief complaint of atraumatic chest pain and swelling of the anterior chest wall. After a thorough history and physical examination, as well as basic laboratory tests and chest radiography, she was diagnosed with Tietze's Syndrome. The expedient accurate diagnosis of Tietze's Syndrome is important for the physical and emotional well-being of a patient, and avoids overlooking more dangerous pathologies. Tietze's Syndrome needs to be considered in the differential diagnosis of a patient presenting with spontaneous swelling of the anterior chest.

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Costosternal Chondrodynia Simulating Recurrent Breast Cancer Unveiled by FDG PET

Cited by 11 publications

References 13 publications

Local treatment of pain in Tietze syndrome: A single-center experience

Local treatment of pain in Tietze syndrome: A single-center experience

Ultrasound-guided Intercostal Nerve Block in Chronic Musculoskeletal Chest Pain: A Case Report

Tietze’s Syndrome in the emergency department: A rare etiology of atraumatic chest pain

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