• Internal medicine · Sep 2024

    Case Reports

    The Diagnosis of Esophageal Tuberculosis Through an Endoscopic Ultrasound-guided Fine-needle Aspiration Biopsy: A Case Study.

    • Shoma Sawai, Reiko Yamada, Yohei Ikenoyama, Kenji Nose, Takamitsu Tanaka, Yoshifumi Nakamura, Tetsuro Miwata, Junya Tsuboi, Hajime Fujimoto, and Hayato Nakagawa.
    • Department of Gastroenterology and Hepatology, Mie University Graduate School of Medicine, Japan.
    • Intern. Med. 2024 Sep 1; 63 (17): 239924052399-2405.

    AbstractA 54-year-old woman presented with an elevated esophageal lesion. Computed tomography (CT) and magnetic resonance imaging revealed a mass in the pancreatic head. Endoscopic ultrasound (EUS) showed a well-defined, round, hypoechoic mass, which was considered lymph node enlargement. An EUS-guided fine-needle aspiration biopsy (FNAB) was performed on the esophagus and the mass above the pancreatic head. The pathologically confirmed epithelial cells and multinucleated giant cells were positive for T-SPOT. Clinically, tuberculous lymphadenitis and esophageal tuberculosis were suspected, with successful treatment with anti-tuberculosis therapy resulting in a good response. Our findings suggest that an EUS-FNAB is useful for diagnosing esophageal tuberculosis.

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