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Sahin F.,Yedikule Chest Diseases and Thoracic Surgery Research and Training Hospital | Yildiz P.,Yedikule Chest Diseases and Thoracic Surgery Research and Training Hospital
Iranian Journal of Radiology | Year: 2011

Mediastinal tuberculous lymphadenitis is a rare disease in adults. Dysphagia as the accompanying symptom is even a rarer manifestation. Cases with esophageal symptoms may present as esophageal ulceration, mucosal or submucosal mass, fistula or sinus formation, extrinsic compression or displacement of the esophagus. Extrinsic compression may radiologically or endoscopically present as a submucosal tumor. Our case is a 30-year-old woman with dysphagia for a month. Extrinsic compression was seen endoscopically on the mid-esophagus. On thoracic CT and MRI images, a multiloculated cystic/necrotic mass, 5.5×4.8×3.1 cm in size consisting of multiple septa was located subcarinally in the middle mediastinum. In Wang needle aspiration, a mucopurulaent liquid was aspirated from the subcarinal localization by bronchoscopy. Diagnostic thoracotomy was carried out because histological and bacteriological examinations were not diagnostic. It was reported as tuberculous lymphadenitis pathologically. The control thoracic CT performed after antituberculous treatment showed complete regression of the mass. We herein report a rare form of tuberculous lymphadenitis. Source


Sahin F.,Yedikule Chest Diseases and Thoracic Surgery Research and Training Hospital | Fener N.,Yedikule Chest Diseases and Thoracic Surgery Research and Training Hospital | Yildiz P.,Yedikule Chest Diseases and Thoracic Surgery Research and Training Hospital
Archives of Iranian Medicine | Year: 2012

Endobronchial metastases of extrapulmonary malignant tumors are rarely encountered. Herein, we have reported two cases of endobronchial metastases from nonpulmonary tumors. The first case was a 32-year-old female patient who underwent surgery for a sclerosing epitheloid fibrosarcoma in her left thigh in 2007. Metastatic bilateral parenchymal nodules in her lungs were seen on thorax CT. Bronchoscopy revealed a mass plugging, particularly in the openings of the anterior and lateral basal segments of the left lower lung lobe. Pathological examination of the biopsies was interpreted as fibrosarcoma metastasis. The second case was a 49-year-old male patient who complained of cough, weight loss, excessive sweating, and fatigue. A 7×8 cm, irregular limited soft tissue density in the right middle lobe of the lung that showed air bronchogram and cystic regions was detected on thorax CT. Bronchoscopy was performed. Pathological examination of the bronchoscopic materials taken from the mass that had obstructed the entrance of the middle lobe revealed a large B cell diffuse lymphoma. Source

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