1, chest wall tuberculosis first manifests as a local elevation of the chest, slightly hard, gradually increasing in size, from no pain to gradually increasing pain, the skin gradually becoming red, the swelling gradually becoming soft, and then breaking down and flowing pus, usually yellowish white or gray pus, sometimes with white cheese crumb-like material. In about a week or so, the pus gradually decreases, and some of them will naturally seal and crust over, but they will break down again in a few days, with less pus discharged, and will not heal for a long time. In some patients, the lesion is dominated by caseous material, which develops more slowly, and there are fewer cases of redness, swelling and rupture. 2. Most of the chest wall tuberculosis can be clearly diagnosed by chest wall ultrasound, chest enhancement CT and relevant blood tests, and a few need to be confirmed by puncture biopsy or surgery. Some patients may have a combination of pulmonary tuberculosis, pleural tuberculosis ball, or encapsulated abscess chest. 3, the first treatment is anti-tuberculosis treatment, can not be too anxious, generally take medicine 2-3 months to see more obvious results. 4, at the beginning of the drug, chest wall tuberculosis may quickly become more swollen, or more red, to break the appearance of normal, is the effect of drugs, so that the lesion necrosis and septic performance. The other part of the patients are not very sensitive to the drug, especially the case dominated lesions, may not have this process, but little change, or directly shrink, but may repeatedly increase after stopping the drug. 5, very red to break when you can puncture to draw pus, or surgical incision and drainage. At this time to do surgery, the incision may not heal, may form a sinus tract, or recur again. At this time, pus extraction or surgery is to drainage, to promote necrotic tissue and pus discharge, to avoid excessive ulceration area, to promote healing and measures taken, some patients can heal, some patients may need a second surgery. 6.Regardless of whether the measures of puncture and pus extraction are taken or not, most of the lesions with red and swollen process will break down, and there is no need to be afraid, a simple change of medication can be done, regardless of the size of the trauma, you can shower with water, after showering the trauma is disinfected with iodophor and covered with gauze. 7, if the formation of sinus tracts or delayed non-healing, we generally recommend taking medication for 6 months or even a year before surgery, depending on the size of the lesion, the lesion inside and outside the chest wall will be removed together, may need to remove part of the rib. At this time, the surgical incision can basically heal and the chance of recurrence or residual sinus tracts is relatively small, but there will always be some people who will recur or produce sinus tracts, requiring more surgery. 8. The treatment of various kinds of tuberculosis is related to medication and autoimmunity, so it is important to take medication on time, eat a balanced diet, exercise properly, and ensure rest.