Table 1 Clinical features and Histopathologic findings of undiagnosed ET
From: EUS in the diagnosis of pathologically undiagnosed esophageal tuberculosis
Case No. | Age/Sex | Presentation (duration) | Medical history | ESR (mm/h) | PPD test or T-SPOT | Chest CT (or Esophagography) | Histopathologic findings |
|---|---|---|---|---|---|---|---|
1 | 41/F | Retrosternal discomfort (4 wk) | Normal | 15 | PPD(+++) | Pulmonary fibrosis in right lower lobe | Chronic inflammation with suspected epithelioid cells (routine + deep biopsy) |
2 | 57/M | Dysphagia (4 wk) | Normal | 7 | T-SPOT (+) | A few fibrotic foci in the right lung | Chronic inflammation (multipoint biopsy) |
3 | 50/F | Dysphagia and retrosternal pain (6 wk) | Pulmonary tuberculosis | 30 | PPD(++++) | Bilateral secondary pulmonary tuberculosis, with increased mediastinal lymph nodes | Chronic inflammation with acute inflammation (multipoint biopsy) |
4 | 35/M | Dysphagia and retrosternal pain (9 wk) | Pulmonary tuberculosis | 28 | PPD(+++) | Secondary pulmonary tuberculosis in the right upper lobe, with enlargement of mediastinal and left hilar lymph nodes | Chronic inflammation (routine biopsy + EUS-FNA) |
5 | 47/M | Retrosternal discomfort (4 wk) | Gastric ulcer | 10 | T-SPOT (+) | A small amount of proliferation and fibrosis foci in the bilateral lungs | Chronic inflammation with acute inflammation (routine +deep biopsy) |
6 | 47/F | Retrosternal discomfort (4 wk) | Pulmonary tuberculosis | 6 | T-SPOT (+) | A few fibrotic foci in the right lung, right pleural thickening | Chronic inflammation (routine + deep biopsy) |
7 | 38/F | Retrosternal discomfort (2 wk) | Normal | 5 | T-SPOT (+) | A few fibrotic foci in the bilateral lungs (Esophagography: esophageal diverticulum) | Not acquired |
8 | 59/F | Dysphagia (4 wk) | Pulmonary tuberculosis | 15 | T-SPOT (+) | Multiple calcifications in the bilateral lungs and mediastinum, suspicious esophago-mediastinal fistula | Chronic inflammation (multipoint biopsy) |
9 | 29/F | Dysphagia (2 wk) | Normal | 9 | PPD(+++) | A few fibrotic foci in bilateral lungs | Chronic inflammation (multipoint biopsy) |