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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.
Artículo en Inglés | 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.
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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Estómago / Tuberculosis / Tuberculosis Ganglionar / Biopsia / Endoscopía del Sistema Digestivo / Ultrasonografía / Biopsia con Aguja Fina / Diagnóstico Precoz / Diagnóstico / Promoción de la Salud Tipo de estudio: Estudio diagnóstico / Estudio de tamizaje Límite: Adulto / Humanos Idioma: Inglés Revista: The Korean Journal of Helicobacter and Upper Gastrointestinal Research Año: 2018 Tipo del documento: Artículo

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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Estómago / Tuberculosis / Tuberculosis Ganglionar / Biopsia / Endoscopía del Sistema Digestivo / Ultrasonografía / Biopsia con Aguja Fina / Diagnóstico Precoz / Diagnóstico / Promoción de la Salud Tipo de estudio: Estudio diagnóstico / Estudio de tamizaje Límite: Adulto / Humanos Idioma: Inglés Revista: The Korean Journal of Helicobacter and Upper Gastrointestinal Research Año: 2018 Tipo del documento: Artículo