Open AccessMediastinal Tuberculous Lymphadenitis Diagnosed by Endosonographic Fine Needle Aspiration
Author(s) -
Joonhwan Kim,
Young-Woo Jang,
Kyung Oh Kim,
Yoon Jae Kim,
Dong Kyun Park,
Dong Hae Chung,
Eun Young Kim,
JaeYong Chung
Publication year - 2016
Publication title -
the korean journal of gastroenterology
Language(s) - Uncategorized
Resource type - Journals
SCImago Journal Rank - 0.203
H-Index - 25
eISSN - 2233-6869
pISSN - 1598-9992
DOI - 10.4166/kjg.2016.68.6.312
Subject(s) - medicine , esophagogastroduodenoscopy , fine needle aspiration , endoscopic ultrasonography , radiology , tuberculous lymphadenitis , lesion , tuberculosis , presentation (obstetrics) , endoscopic ultrasound , biopsy , endoscopy , pathology
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.