Dysphagia due to mediastinal tuberculous lymphadenitis presenting as an esophageal submucosal tumor: a case report.
10.3349/ymj.1995.36.4.386
- Author:
Seung Ho PARK
1
;
Jun Pyo CHUNG
;
In Jae KIM
;
Hyo Jin PARK
;
Kwan Sik LEE
;
Chae Yoon CHON
;
In Suh PARK
;
Ki Whang KIM
;
Doo Yun LEE
Author Information
1. Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Tuberculosis;
mediastinal lymphadenitis;
esophagus;
dysphagia
- MeSH:
Adult;
Case Report;
Deglutition Disorders/*etiology;
Diagnosis, Differential;
Esophageal Neoplasms/*diagnosis;
Esophagoscopy;
Esophagus/pathology/radiography;
Female;
Human;
Mediastinal Diseases/*complications/*diagnosis;
Radiography, Thoracic;
Tomography, X-Ray Computed;
Tuberculosis, Lymph Node/*complications/*diagnosis
- From:Yonsei Medical Journal
1995;36(4):386-391
- CountryRepublic of Korea
- Language:English
-
Abstract:
Mediastinal tuberculous lymphadenitis is rare in adults, and it is even rarer for dysphagia to be the presenting symptom of mediastinal tuberculous lymphadenitis. Mediastinal tuberculous lymphadenitis with esophageal symptoms has been presented as esophageal ulceration, mucosal or submucosal mass with ulceration, fistula or sinus formation, extrinsic compression, or displacement of the esophagus. An exaggerated form of extrinsic compression may be presented as a submucosal tumor, radiologically or endoscopically. A barium esophagography of a 34 year-old woman with painful dysphagia revealed a large submucosal tumor-like mass on the mid-esophagus. The symptom was spontaneously improved over a 3-week period together with reduction of the mass size. A computed tomography of the chest disclosed an enlarged subcarinal lymph node and histologic examination of the specimen obtained by thoracoscopic biopsy brought about a diagnosis of tuberculosis. We herein report a case of mediastinal tuberculosis with unusual manifestations.
