Tuberculous Lymphadenitis Mimicking Gastric Subepithelial Tumor Diagnosed Using Endoscopic Ultrasound-guided Fine-needle Aspiration
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 endoscopi...
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Korean College of Helicobacter and Upper Gastrointestinal Research
2018-03-01
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| Series: | The Korean Journal of Helicobacter and Upper Gastrointestinal Research |
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| Online Access: | http://www.helicojournal.org/journal/view.html?doi=10.7704/kjhugr.2018.18.1.65 |
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| author | Sung Bum Kim Tae Nyeun Kim Kook Hyun Kim |
| author_facet | Sung Bum Kim Tae Nyeun Kim Kook Hyun Kim |
| author_sort | Sung Bum Kim |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-b0e3458e1b1349ceb6fdff84c8eb537e |
| institution | DOAJ |
| issn | 1738-3331 |
| language | English |
| publishDate | 2018-03-01 |
| publisher | Korean College of Helicobacter and Upper Gastrointestinal Research |
| record_format | Article |
| series | The Korean Journal of Helicobacter and Upper Gastrointestinal Research |
| spelling | doaj-art-b0e3458e1b1349ceb6fdff84c8eb537e2025-08-20T02:51:39ZengKorean College of Helicobacter and Upper Gastrointestinal ResearchThe Korean Journal of Helicobacter and Upper Gastrointestinal Research1738-33312018-03-01181656910.7704/kjhugr.2018.18.1.65kjhugr.2018.18.1.65Tuberculous Lymphadenitis Mimicking Gastric Subepithelial Tumor Diagnosed Using Endoscopic Ultrasound-guided Fine-needle AspirationSung Bum Kim0Tae Nyeun Kim1Kook Hyun Kim2Division of Gastroenterology and Hepatology, Department of Internal Medicine, Yeungnam University College of Medicine, Daegu, KoreaDivision of Gastroenterology and Hepatology, Department of Internal Medicine, Yeungnam University College of Medicine, Daegu, KoreaDivision of Gastroenterology and Hepatology, Department of Internal Medicine, Yeungnam University College of Medicine, Daegu, KoreaA 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.http://www.helicojournal.org/journal/view.html?doi=10.7704/kjhugr.2018.18.1.65Endoscopic ultrasoundEndoscopic ultrasound-guided fine-needle aspirationSubepithelial tumorTuberculosis |
| spellingShingle | Sung Bum Kim Tae Nyeun Kim Kook Hyun Kim Tuberculous Lymphadenitis Mimicking Gastric Subepithelial Tumor Diagnosed Using Endoscopic Ultrasound-guided Fine-needle Aspiration The Korean Journal of Helicobacter and Upper Gastrointestinal Research Endoscopic ultrasound Endoscopic ultrasound-guided fine-needle aspiration Subepithelial tumor Tuberculosis |
| title | Tuberculous Lymphadenitis Mimicking Gastric Subepithelial Tumor Diagnosed Using Endoscopic Ultrasound-guided Fine-needle Aspiration |
| title_full | Tuberculous Lymphadenitis Mimicking Gastric Subepithelial Tumor Diagnosed Using Endoscopic Ultrasound-guided Fine-needle Aspiration |
| title_fullStr | Tuberculous Lymphadenitis Mimicking Gastric Subepithelial Tumor Diagnosed Using Endoscopic Ultrasound-guided Fine-needle Aspiration |
| title_full_unstemmed | Tuberculous Lymphadenitis Mimicking Gastric Subepithelial Tumor Diagnosed Using Endoscopic Ultrasound-guided Fine-needle Aspiration |
| title_short | Tuberculous Lymphadenitis Mimicking Gastric Subepithelial Tumor Diagnosed Using Endoscopic Ultrasound-guided Fine-needle Aspiration |
| title_sort | tuberculous lymphadenitis mimicking gastric subepithelial tumor diagnosed using endoscopic ultrasound guided fine needle aspiration |
| topic | Endoscopic ultrasound Endoscopic ultrasound-guided fine-needle aspiration Subepithelial tumor Tuberculosis |
| url | http://www.helicojournal.org/journal/view.html?doi=10.7704/kjhugr.2018.18.1.65 |
| work_keys_str_mv | AT sungbumkim tuberculouslymphadenitismimickinggastricsubepithelialtumordiagnosedusingendoscopicultrasoundguidedfineneedleaspiration AT taenyeunkim tuberculouslymphadenitismimickinggastricsubepithelialtumordiagnosedusingendoscopicultrasoundguidedfineneedleaspiration AT kookhyunkim tuberculouslymphadenitismimickinggastricsubepithelialtumordiagnosedusingendoscopicultrasoundguidedfineneedleaspiration |