title: Mediastinal Tuberculous Lymphadenitis Diagnosed by Endosonographic Fine Needle Aspiration.
abstract: Isolated mediastinal tuberculous lymphadenitis is clinically rare. Its clinical presentation may mimic an esophageal submucosal tumor by extrinsic compression. A 26-year-old woman was referred to our hospital for an esophageal subepithelial tumor. A 15×10 mm sized subepithelial lesion was found 30 cm from the upper incisors on esophagogastroduodenoscopy. We diagnosed the lesion as a submucosal tumor, and performed endoscopic ultrasonography-guided fine needle aspiration for a pathologic diagnosis. The histologic examination revealed granulomatous inflammation consistent with tuberculosis. We suggest that the use of endoscopic ultrasonography and fine needle aspiration may be helpful in making an early diagnosis and planning for an optimal treatment.
authors.affiliation: Division of Gastroenterology, Department of Internal Medicine, Gachon University Gil Medical Center, Gachon University College of Medicine, Incheon, Korea.
authors.forename: Joonhwan
authors.initials: J
authors.lastname: Kim
authors.affiliation: Division of Gastroenterology, Department of Internal Medicine, Gachon University Gil Medical Center, Gachon University College of Medicine, Incheon, Korea.
authors.forename: Youngwoo
authors.initials: Y
authors.lastname: Jang
authors.affiliation: Division of Gastroenterology, Department of Internal Medicine, Gachon University Gil Medical Center, Gachon University College of Medicine, Incheon, Korea.
authors.forename: Kyung Oh
authors.initials: KO
authors.lastname: Kim
authors.affiliation: Division of Gastroenterology, Department of Internal Medicine, Gachon University Gil Medical Center, Gachon University College of Medicine, Incheon, Korea.
authors.forename: Yoon Jae
authors.initials: YJ
authors.lastname: Kim
authors.affiliation: Division of Gastroenterology, Department of Internal Medicine, Gachon University Gil Medical Center, Gachon University College of Medicine, Incheon, Korea.
authors.forename: Dong Kyun
authors.initials: DK
authors.lastname: Park
authors.affiliation: Department of Pathology, Gachon University Gil Medical Center, Gachon University College of Medicine, Incheon, Korea.
authors.forename: Dong Hae
authors.initials: DH
authors.lastname: Chung
authors.affiliation: Department of Radiology, Gachon University Gil Medical Center, Gachon University College of Medicine, Incheon, Korea.
authors.forename: Eun Young
authors.initials: EY
authors.lastname: Kim
authors.affiliation: Division of Gastroenterology, Department of Internal Medicine, Gachon University Gil Medical Center, Gachon University College of Medicine, Incheon, Korea.
authors.forename: Jun Won
authors.initials: JW
authors.lastname: Chung
mesh_terms: D000328:Adult; D004269:DNA, Bacterial / Q000302:isolation & purification / Q000378:metabolism; D061765:Endoscopic Ultrasound-Guided Fine Needle Aspiration; D016145:Endoscopy, Digestive System; D019160:Endosonography; D004938:Esophageal Neoplasms / Q000175:diagnosis / Q000473:pathology; D004947:Esophagus / Q000000981:diagnostic imaging; D005260:Female; D006801:Humans; D009169:Mycobacterium tuberculosis / Q000235:genetics / Q000302:isolation & purification; D016133:Polymerase Chain Reaction; D014057:Tomography, X-Ray Computed; D014388:Tuberculosis, Lymph Node / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology
chemical_list: D004269:DNA, Bacterial
keywords: Endosonography; Esophagus; Mediastinum; Neoplasm; Tuberculosis