Tuberculous Lymphadenitis Mimicking Gastric Subepithelial Tumor Diagnosed Using Endoscopic Ultrasound-guided Fine-needle Aspiration
The Korean Journal of Helicobacter and Upper Gastrointestinal Research
;
: 65-69, 2018.
Article
in English
| WPRIM
| ID: wpr-738949
ABSTRACT
A gastric subepithelial tumor (SET) is commonly detected during a diagnostic endoscopic examination. Gastric tuberculosis (TB), in particular, can present as a SET of the gastric wall. A few cases of gastric TB mimicking a SET have recently been reported. Radiological imaging combined with endoscopic biopsy can aid in the early diagnosis of TB without surgical intervention. A 41-year-old man visited our health promotion center for a regular check-up. Esophagogastroduodenoscopy (EGD) revealed a round and smooth, bulging mucosal lesion suggesting a gastric SET in the upper body of the stomach. Endoscopic ultrasound (EUS) demonstrated a hypoechoic lesion measuring 18 mm, with an obscure layer of origin, and EUS-guided fine-needle aspiration was performed. Microscopic examination of the sample showed chronic granulomatous inflammation. Histopathologically, the aspirated sample showed positive Ziehl-Neelsen staining, confirming a diagnosis of tuberculous lymphadenitis. We describe a case of a patient who presented with tuberculous lymphadenitis mimicking a SET of the stomach. The lesion was found on EGD and confirmed using EUS-guided fine-needle aspiration.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Stomach
/
Tuberculosis
/
Tuberculosis, Lymph Node
/
Biopsy
/
Endoscopy, Digestive System
/
Ultrasonography
/
Biopsy, Fine-Needle
/
Early Diagnosis
/
Diagnosis
/
Health Promotion
Type of study:
Diagnostic study
/
Screening study
Limits:
Adult
/
Humans
Language:
English
Journal:
The Korean Journal of Helicobacter and Upper Gastrointestinal Research
Year:
2018
Type:
Article
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