Yonsei Med J.  1995 Aug;36(4):386-391. 10.3349/ymj.1995.36.4.386.

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

• Park SH
• Chung JP
• Kim IJ
• Park HJ
• Lee KS
• Chon CY
• Park IS
• Kim KW
• Lee DY

• KMID: 1066890
• DOI: http://doi.org/10.3349/ymj.1995.36.4.386

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.

Keyword

Tuberculosis; mediastinal lymphadenitis; esophagus; dysphagia

MeSH Terms

Adult
Case Report
Deglutition Disorders/*etiology
Diagnosis, Differential
Esophageal Neoplasms/*diagnosis
Esophagoscopy
Esophagus/pathology/radiography
Female
Human
Mediastinal Diseases/*complications/*diagnosis
Radiography, Thoracic
Tomography, X-Ray Computed
Tuberculosis, Lymph Node/*complications/*diagnosis