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原发性食管结核误诊为食管癌1例并文献复习

Min Hu Tiecheng Pan Xiang Wei Tao Chen Ligang Liu Xinzhong Ning

中德临床肿瘤学杂志(英文版)2008,Vol.7Issue(3):140-141,2.
中德临床肿瘤学杂志(英文版)2008,Vol.7Issue(3):140-141,2.

原发性食管结核误诊为食管癌1例并文献复习

Esophageal tuberculosis misdiagnosed as esophageal carcinoma

Min Hu 1Tiecheng Pan 1Xiang Wei 1Tao Chen 1Ligang Liu 1Xinzhong Ning1

作者信息

  • 1. Department of Cardiothoracic Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China
  • 折叠

摘要

Abstract

Esophageal tuberculosis (ET) is a rare clinical entity; the clinical features of this infection may be similar to the esophageal carcinoma. The differential diagnosis is very difficult and some cases may result in an unnecessary esophagectomy. We reported herein a 48-year-old man with symptoms of dysphagia and pectoralgia for one month. Our primary diagnosis was established as esophageal carcinoma and the patient underwent surgical therapy. Histopathological examination of the excised tumor lesion and lymph nodes showed epithelioid granulomas, Langhans' giant cells, caseous necrosis. No evidence of malignancy has been found. The Mantoux test revealed a positive reaction with 20 mm in diameter. Antituberculous treatment was given after operation. Clinicians should aware the features of ET and this rare disease should be considered in the differential diagnosis of esophageal lesions.

关键词

esophageal tuberculosis/ esophageal carcinoma/ misdiagnose

Key words

esophageal tuberculosis/ esophageal carcinoma/ misdiagnose

分类

医药卫生

引用本文复制引用

Min Hu,Tiecheng Pan,Xiang Wei,Tao Chen,Ligang Liu,Xinzhong Ning..原发性食管结核误诊为食管癌1例并文献复习[J].中德临床肿瘤学杂志(英文版),2008,7(3):140-141,2.

中德临床肿瘤学杂志(英文版)

OACSTPCD

2095-9621

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