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.	刘罩明, 成瑞明, 徐静, 等. 超声在胸壁结核诊治中的应用价值. 医学信息, 2015, 28(7): 53.
7.	张更臣, 曹兵生, 黎晓林, 等. 高频超声诊断胸壁结核48例分析. 中国误诊学杂志, 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.	徐静, 吴荣秀. 超声彩色多普勒在诊断胸壁结核的临床研究. 国际生物医学工程杂志, 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联合高频超声诊断胸壁结核的临床价值. 中国医疗设备, 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. 含左氧氟沙星方案对复治肺结核患者的近期疗效观察. 临床合理用药杂志, 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, 解记臣, 孙留安, 等. 胸壁结核手术时机与术式的选择. 航空航天医药, 2010, 21(4): 529-530.
42.	王伟, 李前生, 侯庆宝, 等. 149例胸壁结核的外科治疗体会. 中国实用外科杂志, 1997, (5): 40.
43.	钱勇, 杨继承, 袁跃西. 120例胸壁结核外科治疗体会. 中国现代手术学杂志, 2011, 15(5): 364-365.
44.	何革, 徐旭东, 叶波, 等. 复发性胸壁结核局部病灶的相关处理措施分析. 中华医院感染学杂志, 2013, 23(7): 1562-1563.
45.	齐冬, 景凯, 张大义. 38例胸壁结核的外科治疗. 中国临床研究, 2010, 23(5): 396-397.
46.	路立军, 朱德成, 陈万生, 等. 胸壁结核术后复发的手术治疗及预防. 中国医刊, 2012, 47(10): 75-76.
47.	詹锋, 姜镭, 曾志强, 等. 负压封闭引流技术在胸壁结核治疗的应用(附38例报道). 岭南现代临床外科, 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, 金红玉, 楼敏, 等. 不同干预策略对胸壁结核易复发因素的研究. 中华医院感染学杂志, 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, 韩斌德, 王大江, 等. 中西医结合治疗胸壁结核疗效观察. 中医中药, 2012, 31(19): 107.
55.	张晓萍. 中西医结合治疗胸壁结核100例分析. 内蒙古医学杂志, 2010, 42(S6): 163.
56.	刘卫华, 左涛, 倪正义. 胸腔镜在治疗胸壁结核中的应用价值. 临床肺科杂志, 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, 游长胜, 等. 胸腺五肽联合常规抗结核治疗在胸壁结核术后患者中的应用效果观察. 白求恩医学杂志, 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. 刘罩明, 成瑞明, 徐静, 等. 超声在胸壁结核诊治中的应用价值. 医学信息, 2015, 28(7): 53.
7. 张更臣, 曹兵生, 黎晓林, 等. 高频超声诊断胸壁结核48例分析. 中国误诊学杂志, 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. 徐静, 吴荣秀. 超声彩色多普勒在诊断胸壁结核的临床研究. 国际生物医学工程杂志, 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联合高频超声诊断胸壁结核的临床价值. 中国医疗设备, 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. 含左氧氟沙星方案对复治肺结核患者的近期疗效观察. 临床合理用药杂志, 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, 解记臣, 孙留安, 等. 胸壁结核手术时机与术式的选择. 航空航天医药, 2010, 21(4): 529-530.
42. 王伟, 李前生, 侯庆宝, 等. 149例胸壁结核的外科治疗体会. 中国实用外科杂志, 1997, (5): 40.
43. 钱勇, 杨继承, 袁跃西. 120例胸壁结核外科治疗体会. 中国现代手术学杂志, 2011, 15(5): 364-365.
44. 何革, 徐旭东, 叶波, 等. 复发性胸壁结核局部病灶的相关处理措施分析. 中华医院感染学杂志, 2013, 23(7): 1562-1563.
45. 齐冬, 景凯, 张大义. 38例胸壁结核的外科治疗. 中国临床研究, 2010, 23(5): 396-397.
46. 路立军, 朱德成, 陈万生, 等. 胸壁结核术后复发的手术治疗及预防. 中国医刊, 2012, 47(10): 75-76.
47. 詹锋, 姜镭, 曾志强, 等. 负压封闭引流技术在胸壁结核治疗的应用(附38例报道). 岭南现代临床外科, 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, 金红玉, 楼敏, 等. 不同干预策略对胸壁结核易复发因素的研究. 中华医院感染学杂志, 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, 韩斌德, 王大江, 等. 中西医结合治疗胸壁结核疗效观察. 中医中药, 2012, 31(19): 107.
55. 张晓萍. 中西医结合治疗胸壁结核100例分析. 内蒙古医学杂志, 2010, 42(S6): 163.
56. 刘卫华, 左涛, 倪正义. 胸腔镜在治疗胸壁结核中的应用价值. 临床肺科杂志, 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, 游长胜, 等. 胸腺五肽联合常规抗结核治疗在胸壁结核术后患者中的应用效果观察. 白求恩医学杂志, 2017, 15(6): 746-748.

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Research status of surgical diagnosis and treatment of chest wall tuberculosis

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