Dysphagia due to mediastinal tuberculous lymphadenitis presenting as an esophageal submucosal tumor: a case report.

S. H. Park, J. P. Chung, I. J. Kim, HyoJin Park, K. S. Lee, C. Y. Chon, I. S. Park, K. W. Kim, D. Y. Lee

Research output: Contribution to journalArticle

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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.

Original languageEnglish
Pages (from-to)386-391
Number of pages6
JournalYonsei medical journal
Volume36
Issue number4
DOIs
Publication statusPublished - 1995 Jan 1

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Lymph Node Tuberculosis
Deglutition Disorders
Esophagus
Tuberculosis
Neoplasms
Barium
Fistula
Thorax
Lymph Nodes
Tomography
Biopsy

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Park, S. H. ; Chung, J. P. ; Kim, I. J. ; Park, HyoJin ; Lee, K. S. ; Chon, C. Y. ; Park, I. S. ; Kim, K. W. ; Lee, D. Y. / Dysphagia due to mediastinal tuberculous lymphadenitis presenting as an esophageal submucosal tumor : a case report. In: Yonsei medical journal. 1995 ; Vol. 36, No. 4. pp. 386-391.
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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.",
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Dysphagia due to mediastinal tuberculous lymphadenitis presenting as an esophageal submucosal tumor : a case report. / Park, S. H.; Chung, J. P.; Kim, I. J.; Park, HyoJin; Lee, K. S.; Chon, C. Y.; Park, I. S.; Kim, K. W.; Lee, D. Y.

In: Yonsei medical journal, Vol. 36, No. 4, 01.01.1995, p. 386-391.

Research output: Contribution to journalArticle

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AU - Chon, C. Y.

AU - Park, I. S.

AU - Kim, K. W.

AU - Lee, D. Y.

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N2 - 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.

AB - 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.

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