title: Suspected oesophageal cancer in a 33 year old lady.
abstract: A previously healthy 33 year old lady presented with acute dysphagia with endoscopic and CT features of oesophageal carcinoma. Endoscopic ultrasound (EUS) revealed a large subcarinal lymph node compressing at the mid-oesophagus. Fine-needle aspiration (FNA) showed a single well-formed epithelioid granuloma with no evidence of malignancy. Molecular analysis showed the aspirate to be positive for Mycobacterium tuberculosis. She continues to improve with standard anti-TB medication without surgery.This is a rare case of acute dysphagia secondary to primary tuberculous mediastinal lymphadenopathy. EUS and FNA have completely altered the clinical management of this lady.
authors.affiliation: Department of Surgery, National University Hospital, 5 Lower Kent Ridge Road, Singapore 119074, Singapore.
authors.forename: Chee Wei
authors.initials: CW
authors.lastname: Tay
authors.forename: Derek Andrew Christopher
authors.initials: DA
authors.lastname: Deans
authors.forename: Jen Lock Christopher
authors.initials: JL
authors.lastname: Khor
authors.forename: Ju Ee
authors.initials: JE
authors.lastname: Seet
authors.forename: Bok Yan Jimmy
authors.initials: BY
authors.lastname: So
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