Korean Journal of Gastrointestinal Endoscopy 2001;23(3): 164-168.
식도암으로 오인된 원발성 식도 결핵 1 예 ( A Case of Primary Esophageal Tuberculosis Confused as Esophageal Cancer )
박용범(Yong Bum Park),김진일(Jin Il Kim),추교영(Kyo Young Choo),방춘상(Choon Sang Bhang),박수헌(Soo Heon Park),양진모(Jin Mo Yang),한준열(Joon Yoel Han),김재광(Jae Kwang Kim),선희식(Hee Sik Sun)
Abstract
Tuberculous involvement of the esophagus is very rare even in the presence of extensive pulmonary tuberculosis or in the endemic area. This is resulted from local extension to the esophagus from contiguous tuberculosis organs or miliary spread. Such secondary involvement is more common than primary tuberculosis, in which there is no evidence of tuberculosis elsewhere. The diagnosis of esophageal tuberculosis may be difficult. So the radioogic, endoscopic, histologic findings and clinical feature including the response to chemotherapy may be needed to avoid misdiagnosis. Most cases can be treated sucdessfrlly with antituberculosis medication. A 67-year-old man was admitted to our hospital complaining of swallowing difficulty for 2 months. On the gastrofibroscopic examination, 22 츠 sized protruding mass with central deep ulceration was discovered at the mid-esophagus. The biopsy showed the ulcer with chronic granulomatous inflammation and multinucleated giant cells consistent with tuberculosis. After antituberuculosis medication, the lesion of esophageal thberculosis was healed completely remaining minimal ulcer scar. (Korean J Gastrointest Endosc 2001;23:164-168)
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