title: Esophageal anthracosis with tuberculous lymphadenitis confirmed on transesophageal endoscopic ultrasound-guided fine-needle aspiration.
abstract: Esophageal anthracosis with tuberculous lymphadenitis is a very rare disease. Almost all reported cases are diagnosed using multiple endoscopic biopsies or thoracic esophagectomy. The present case report describes a case of esophageal anthracosis with tuberculous lymphadenitis that was diagnosed using transesophageal endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) alone. After taking antituberculosis drugs, the patient's chest pain was relieved and she recovered. The patient achieved an excellent outcome following the use of less invasive methods than mediastinoscopy. If no esophageal anthracotic lesions are found on the mucous membrane layer of the esophagus, transesophageal endoscopic ultrasound-guided fine-needle aspiration is a suitable approach for diagnosing esophageal anthracosis.
authors.affiliation: Department of Gastroenterology and Neurology, Faculty of Medicine, Kagawa University, Japan.
authors.forename: Noriko
authors.initials: N
authors.lastname: Nishiyama
authors.forename: Hirohito
authors.initials: H
authors.lastname: Mori
authors.forename: Hideki
authors.initials: H
authors.lastname: Kobara
authors.forename: Kazi
authors.initials: K
authors.lastname: Rafiq
authors.forename: Shintaro
authors.initials: S
authors.lastname: Fujihara
authors.forename: Kiyohito
authors.initials: K
authors.lastname: Katou
authors.forename: Yuichi
authors.initials: Y
authors.lastname: Aritomo
authors.forename: Masahiro
authors.initials: M
authors.lastname: Ono
authors.forename: Hideki
authors.initials: H
authors.lastname: Kamada
authors.forename: Makoto
authors.initials: M
authors.lastname: Oryu
authors.forename: Nobuhiro
authors.initials: N
authors.lastname: Kanaji
authors.forename: Tsutomu
authors.initials: T
authors.lastname: Masaki
mesh_terms: D000368:Aged; D055008:Anthracosis / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000473:pathology; D000995:Antitubercular Agents / Q000627:therapeutic use*; D002637:Chest Pain / Q000188:drug therapy / Q000209:etiology / Q000473:pathology*; D004359:Drug Therapy, Combination; D061765:Endoscopic Ultrasound-Guided Fine Needle Aspiration; D004947:Esophagus / Q000000981:diagnostic imaging / Q000473:pathology*; D004977:Ethambutol / Q000008:administration & dosage; D005260:Female; D006801:Humans; D007538:Isoniazid / Q000008:administration & dosage; D009169:Mycobacterium tuberculosis / Q000302:isolation & purification; D011718:Pyrazinamide / Q000008:administration & dosage; D012293:Rifampin / Q000008:administration & dosage; D016896:Treatment Outcome; D014388:Tuberculosis, Lymph Node / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000473:pathology; D015431:Weight Loss
chemical_list: D000995:Antitubercular Agents; D011718:Pyrazinamide; D004977:Ethambutol; D007538:Isoniazid; D012293:Rifampin