Korean J Gastroenterol.  2016 Dec;68(6):312-316. 10.4166/kjg.2016.68.6.312.

Mediastinal Tuberculous Lymphadenitis Diagnosed by Endosonographic Fine Needle Aspiration

Affiliations
  • 1Division of Gastroenterology, Department of Internal Medicine, Gachon University Gil Medical Center, Gachon University College of Medicine, Incheon, Korea. junwonchung@daum.net
  • 2Department of Pathology, Gachon University Gil Medical Center, Gachon University College of Medicine, Incheon, Korea.
  • 3Department of Radiology, Gachon University Gil Medical Center, Gachon University College of Medicine, Incheon, Korea.

Abstract

Isolated mediastinal tuberculous lymphadenitis is clinically rare. Its clinical presentation may mimic an esophageal submucosal tumor by extrinsic compression. A 26-year-old woman was referred to our hospital for an esophageal subepithelial tumor. A 15×10 mm sized subepithelial lesion was found 30 cm from the upper incisors on esophagogastroduodenoscopy. We diagnosed the lesion as a submucosal tumor, and performed endoscopic ultrasonography-guided fine needle aspiration for a pathologic diagnosis. The histologic examination revealed granulomatous inflammation consistent with tuberculosis. We suggest that the use of endoscopic ultrasonography and fine needle aspiration may be helpful in making an early diagnosis and planning for an optimal treatment.

Keyword

Tuberculosis; Esophagus; Mediastinum; Neoplasm; Endosonography

MeSH Terms

Adult
Biopsy, Fine-Needle*
Diagnosis
Early Diagnosis
Endoscopy, Digestive System
Endosonography
Esophagus
Female
Humans
Incisor
Inflammation
Mediastinum
Tuberculosis
Tuberculosis, Lymph Node*
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