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Dysphagia due to mediastinal tuberculous lymphadenitis presenting as an esophageal submucosal tumor

Authors
 Seung Ho Park  ;  Jun Pyo Chung  ;  In Jae Kim  ;  Hyo Jin Park  ;  Kwan Sik Lee  ;  Chae Yoon Chon  ;  In Suh Park  ;  Ki Whang Kim  ;  Doo Yun Lee 
Citation
 YONSEI MEDICAL JOURNAL, Vol.36(4) : 386-391, 1995-08 
Journal Title
YONSEI MEDICAL JOURNAL
ISSN
 0513-5796 
Issue Date
1995-08
MeSH
Adult ; Deglutition Disorders / etiology* ; Diagnosis, Differential ; Esophageal Neoplasms / diagnosis* ; Esophagoscopy ; Esophagus / diagnostic imaging ; Esophagus / pathology ; Female ; Humans ; Mediastinal Diseases / complications* ; Mediastinal Diseases / diagnosis* ; Radiography, Thoracic ; Tomography, X-Ray Computed ; Tuberculosis, Lymph Node / complications* ; Tuberculosis, Lymph Node / diagnosis*
Keywords
Tuberculosis ; mediastinal lymphadenitis ; esophagus ; dysphagia
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.
Files in This Item:
T199501903.pdf Download
DOI
10.3349/ymj.1995.36.4.386
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Lee, Kwan Sik(이관식) ORCID logo https://orcid.org/0000-0002-3672-1198
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/186558
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