Please use this identifier to cite or link to this item: https://doi.org/10.1016/j.ijscr.2010.10.002
Title: Suspected oesophageal cancer in a 33 year old lady
Authors: Tay, C.W.
Deans, D.A.C.
Khor, J.L.C.
Seet, J.E. 
So, B.Y.J. 
Keywords: Endoscopic ultrasound
Fine-needle aspiration
Oesophageal cancer
Tuberculous lymphadenopathy
Issue Date: 2011
Citation: Tay, C.W., Deans, D.A.C., Khor, J.L.C., Seet, J.E., So, B.Y.J. (2011). Suspected oesophageal cancer in a 33 year old lady. International Journal of Surgery Case Reports 2 (2) : 13-15. ScholarBank@NUS Repository. https://doi.org/10.1016/j.ijscr.2010.10.002
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. © 2010 Surgical Associates Ltd.
Source Title: International Journal of Surgery Case Reports
URI: http://scholarbank.nus.edu.sg/handle/10635/125644
ISSN: 22102612
DOI: 10.1016/j.ijscr.2010.10.002
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