title: Mediastinal lymphadenopathy in malignancy: metastatic or granulomatous?
abstract: Mediastinal lymphadenopathy in patients with malignancy may not be always metastatic disease. We present three patients with proven thoracic or extra thoracic malignancies with mediastinal lymphadenopathy which were subsequently proven as granulomatous lymphadenitis by endobronchial ultrasound guided transbronchial needle aspiration (EBUS-TBNA). The objective of the current report is to emphasise that granulomatous lymphadenitis should be considered as an important differential diagnosis in such patients especially in tuberculosis endemic countries like India.
authors: Lung Care and Sleep Centre, Fortis Hiranandani Hospital, Vashi, Navi M. Umbai and Institute of Pulmonology Medical Research and Development, Mumbai, India.
authors: Santhakumar
authors: S
authors: Subramanian
authors: H S
authors: HS
authors: Sandeepa
authors: Parag
authors: P
authors: Chaudhari
authors: Arvind H
authors: AH
authors: Kate
authors: Sushil
authors: S
authors: Kumar
authors: Parth
authors: P
authors: Shah
authors: Prashant N
authors: PN
authors: Chhajed
mesh_terms: D000230:Adenocarcinoma / Q000473:pathology*; D000328:Adult; D000368:Aged; D001706:Biopsy; D003937:Diagnosis, Differential; D003952:Diagnostic Imaging; D005260:Female; D006801:Humans; D007194:India; D008175:Lung Neoplasms / Q000473:pathology*; D008198:Lymph Nodes / Q000473:pathology; D008207:Lymphatic Metastasis / Q000473:pathology*; D008875:Middle Aged; D010051:Ovarian Neoplasms / Q000473:pathology*; D016133:Polymerase Chain Reaction; D014388:Tuberculosis, Lymph Node / Q000473:pathology*; D014397:Tuberculosis, Pulmonary / Q000473:pathology*