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Mediastinal Tuberculous Lymphadenitis Presenting as a Mediastinal Mass with Dysphagia: A Case Report

AUTHORS

Füsun Şahin 1 , * , A Yerlioğlu 1 , P Yıldız 2

AUTHORS INFORMATION

1 Department of Chest Diseases, Yedikule Chest Diseases and Thoracic Surgery Research and Training Hospital, İstanbul, Turkey

2 Associate Professor, Department of Chest Diseases, Yedikule Chest Diseases and Thoracic Surgery Research and Training Hospital, İstanbul, Turkey

ARTICLE INFORMATION

Iranian Journal of Radiology: 8 (2); e93935
Published Online: June 30, 2011
Article Type: Case Report
Received: May 18, 2019
Accepted: June 30, 2011

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Abstract

Mediastinal tuberculous lymphadenitis is a rare disease in adults. Dysphagia as the accompanying symptom is even a rarer manifestation. Cases with esophageal symptoms may present as esophageal ulceration, mucosal or submucosal mass, fistula or sinus formation, extrinsic compression or displacement of the esophagus. Extrinsic compression may radiologically or endoscopically present as a submucosal tumor. Our case is a 30-year-old woman with dysphagia for a month. Extrinsic compression was seen endoscopically on the mid-esophagus. On thoracic CT and MRI images, a multiloculated cystic/necrotic mass  5.5×4.8×3.1 cm in size consisting of multiple septa was located subcarinally in the middle mediastinum. In Wang needle aspiration, a mucopurulaent liquid was aspirated from the subcarinal localization by bronchoscopy. Diagnostic thoracotomy was carried out because histological and bacteriological examinations were not diagnostic. It was reported as tuberculous lymphadenitis pathologically. The control thoracic CT performed after antituberculous treatment showed complete regression of the mass. We herein report a rare form of tuberculous lymphadenitis.

Keywords

Mediastinal Lymph Nodes Thoracotomy Tuberculosis

© 2011, Author(s). This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
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