Literature DB >> 22096676

Suspected oesophageal cancer in a 33 year old lady.

Chee Wei Tay1, Derek Andrew Christopher Deans, Jen Lock Christopher Khor, Ju Ee Seet, Bok Yan Jimmy So.   

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.

Entities:  

Keywords:  Endoscopic ultrasound; Fine-needle aspiration; Oesophageal cancer; Tuberculous lymphadenopathy

Year:  2010        PMID： 22096676      PMCID： PMC3199616          DOI： 10.1016/j.ijscr.2010.10.002

Source DB:  PubMed          Journal:  Int J Surg Case Rep        ISSN： 2210-2612


  10 in total

1.  Evaluation of mediastinal masses by endoscopic ultrasound and endoscopic ultrasound-guided fine needle aspiration.

Authors:  F Panelli; R A Erickson; V M Prasad
Journal:  Am J Gastroenterol       Date:  2001-02       Impact factor: 10.864

2.  Tuberculosis of the oesophagus.

Authors:  H Qureshi; W Ahmad; S J Zuberi; S Aziz; Q Jamal
Journal:  J Pak Med Assoc       Date:  1992-11       Impact factor: 0.781

3.  Mediastinal-esophageal fistulae after EUS-FNA of tuberculosis of the mediastinum.

Authors:  Martin B von Bartheld; Klaas W van Kralingen; Roeland A Veenendaal; Luuk N Willems; Klaus F Rabe; Jouke T Annema
Journal:  Gastrointest Endosc       Date:  2009-08-15       Impact factor: 9.427

4.  Endosonography-guided fine-needle aspiration biopsy: diagnostic accuracy and complication assessment.

Authors:  M J Wiersema; P Vilmann; M Giovannini; K J Chang; L M Wiersema
Journal:  Gastroenterology       Date:  1997-04       Impact factor: 22.682

5.  Esophageal tuberculosis associated with esophagotracheal or esophagomediastinal fistula: report of 10 cases.

Authors:  Harshad C Devarbhavi; Jose Filipe Alvares; Mani Radhikadevi
Journal:  Gastrointest Endosc       Date:  2003-04       Impact factor: 9.427

6.  Mediastinal lymphadenopathy in patients with or without previous malignancy: EUS-FNA-based differential cytodiagnosis in 153 patients.

Authors:  A Fritscher-Ravens; P V Sriram; C Bobrowski; A Pforte; T Topalidis; C Krause; S Jaeckle; F Thonke; N Soehendra
Journal:  Am J Gastroenterol       Date:  2000-09       Impact factor: 10.864

7.  Endoscopic ultrasonography in the diagnosis and management of suspected upper gastrointestinal submucosal tumours.

Authors:  E F Shen; I D R Arnott; J Plevris; I D Penman
Journal:  Br J Surg       Date:  2002-02       Impact factor: 6.939

8.  Dysphagia due to tuberculosis.

Authors:  Sridhar Rathinam; Manickavasagam Kanagavel; Bangalore Sundaravadanan Tiruvadanan; Rajan Santhosam; Servarayan M Chandramohan
Journal:  Eur J Cardiothorac Surg       Date:  2006-11-01       Impact factor: 4.191

9.  The safety of fine-needle aspiration guided by endoscopic ultrasound: a prospective study.

Authors:  M Al-Haddad; M B Wallace; T A Woodward; S A Gross; C M Hodgens; R D Toton; M Raimondo
Journal:  Endoscopy       Date:  2007-12-04       Impact factor: 10.093

10.  EUS-guided tissue sampling: comparison of "dual sampling" (Trucut biopsy plus FNA) with "sequential sampling" (Trucut biopsy and then FNA as required).

Authors:  G P Aithal; G K Anagnostopoulos; W Tam; J Dean; A Zaitoun; G Kocjan; K Ragunath; S P Pereira
Journal:  Endoscopy       Date:  2007-07-10       Impact factor: 10.093
  10 in total

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