Esophageal tuberculosis mimicking malignancy on 18F-FDG PET/CT

Publication date: Available online 12 October 2019Source: Revista Española de Medicina Nuclear e Imagen Molecular (English Edition)Author(s): Q. Xu, M. Lv, Y. Xia, Y. Zhao, W. Zhang, Y. ChenAbstractA 42-year-old woman presented with a ten-day history of dysphagia, slight chest pain and occasional vomiting. With the performance of thoracic and abdominal enhanced computed tomography (CT) and upper gastrointestinal contrast, once esophageal cancer was suspected. Significant activity mass in esophagus and mediastinal lymph nodes could be found on the imaging of 18F-FDG PET/CT, which also supported malignancy. However, The biopsies of the mid-esophagus were negative for malignancy. Then a video-assisted thoracic surgery (VATS) for mediastinal lymph node biopsy was taken and esophageal tuberculosis was diagnosed by histopathologic examination. This rare case reminds us of esophageal tuberculosis as a possible differential diagnosis in esophageal mass with enlarged lymph nodes.
Source: Revista Espanola de Medicina Nuclear e Imagen Molecular - Category: Nuclear Medicine Source Type: research

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