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Anterior Mediastinal Mass A Rare Presentation of Tuberculosis英文文献资料
HindawiPublishingCorporation
JournalofTropicalMedicine
Volume2011,ArticleID635385,4pages
doi:10.1155/2011/635385
CaseReport
AnteriorMediastinalMass:
ARarePresentationofTuberculosis
GopiC.Khilnani, NeetuJain, VijayHadda, andSudheerK.Arava
1 1 1 2
1
2
DepartmentofMedicine,AllIndiaInstituteofMedicalSciences,NewDelhi110028,India
DepartmentofPathology,AllIndiaInstituteofMedicalSciences,NewDelhi110028,India
CorrespondenceshouldbeaddressedtoGopiC.Khilnani,gckhil@
Received13September2010;Revised7December2010;Accepted15January2011
AcademicEditor:PeterLeggat
Copyright?2011GopiC.Khilnanietal. This is an open access article distributed under the Creative Commons Attribution
License,whichpermitsunrestricteduse,distribution,andreproductioninanymedium,providedtheoriginalworkisproperly
cited.
Wereportacaseofa14-year-boywhopresentedtouswithalow-gradefeverwitheveningrisefor9months.Alongwiththis,
thepatientalsoreportedareductioninhisappetiteandbodyweight.Hehadamilddrycoughbutnorespiratorysymptoms
otherwise.There wasnootherlocalizationforfeveronhistory. Hereceived antitubercular therapy, basedonabnormalchest
radiograph.However,therewasnoreliefinhissymptoms.Generalphysicalexaminationrevealedmildfever.Systemicexamination
wasunremarkable.Bloodinvestigationsdoneforfeverwerenoncontributory.Computedtomographic(CT)scanofthechest
revealedamediastinalmasscompressingthetrachea. Thepossibilitiesoflymphomaorgermcelltumourwereconsidered. A
biopsyfromthemassunderCTguidancewasperformed.Thehistopathologyrevealedmultipleepithelioidcellgranulomaswith
necrosis,andthediagnosisoftuberculosiswasmade.Theclinicalcourseofthispatientandtherelevantliteratureispresentedin
thispaper.
1.Introduction
2.CaseSummary
The anterior mediastinal space is almost a virtual space.
However,the multiplicityofthe structures itcontainsand
the diversity of disease processes a?ecting them make it a
regionofgreatclinicalinterest.Thiscavityenclosesmuscle,
ligaments, fat
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