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.
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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