Mediastinal Tuberculous Lymphadenitis with Intractable Fistula to the Neck

Abstract

A 62-year-old female consulted our hospital due to an ulceration on the skin of her neck and a mediastinal tumor. Chest CT scan and MRI revealed a mediastinal tumor-like lesion with direct progression to the neck skin lesion. En bloc resection of the tumor including the neck skin ulcer was performed under a median sternotomy. Mediastinal tuberculous lymphadenitis was diagnosed histologically. This is a case of a very rare type of mediastinal tuberculous lymphadenitis that progressed to the neck with an intractable fistula.

Key words

Heart and lung transplantation - thoracic surgery - heart disease - mediastinal tuberculous lymphadenitis - intractable fistula

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