Suspected oesophageal cancer in a 33 year old lady

Abstract A previously healthy 33 year old lady presented with acute dysphagia with endoscopic and CT features of oesophageal carcinoma. Endoscopic ultrasound (EUS) revealed a large subcarinal lymph node compressing at the mid-oesophagus. Fine-needle aspiration (FNA) showed a single well-formed epith...

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Bibliographic Details
Published in:International journal of surgery case reports 2011-01, Vol.2 (2), p.13-15
Main Authors: Tay, Chee Wei, Deans, Derek Andrew Christopher, Khor, Jen Lock Christopher, Seet, Ju Ee, So, Bok Yan Jimmy
Format: Article
Language:English
Subjects:
Case Report
Endoscopic ultrasound
Fine-needle aspiration
Oesophageal cancer
Surgery
Tuberculous lymphadenopathy
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Summary:Abstract A previously healthy 33 year old lady presented with acute dysphagia with endoscopic and CT features of oesophageal carcinoma. Endoscopic ultrasound (EUS) revealed a large subcarinal lymph node compressing at the mid-oesophagus. Fine-needle aspiration (FNA) showed a single well-formed epithelioid granuloma with no evidence of malignancy. Molecular analysis showed the aspirate to be positive for Mycobacterium tuberculosis. She continues to improve with standard anti-TB medication without surgery. This is a rare case of acute dysphagia secondary to primary tuberculous mediastinal lymphadenopathy. EUS and FNA have completely altered the clinical management of this lady.
ISSN:2210-2612
2210-2612
DOI:10.1016/j.ijscr.2010.10.002