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A Giant Cystic Mediastinal Tuberculosis Communicating with Pericardium  

Kim, Jin-Hyuk (Department of Internal Medicine, School of Medicine, Kyung Hee University)
Yoo, Jee-Hong (Department of Internal Medicine, School of Medicine, Kyung Hee University)
Choi, Chun-Yung (Department of Internal Medicine, School of Medicine, Kyung Hee University)
Woo, Tae-Wook (Department of Internal Medicine, School of Medicine, Kyung Hee University)
Kim, Nam-Hoon (Department of Internal Medicine, School of Medicine, Kyung Hee University)
Kim, Young-Hee (Department of Internal Medicine, School of Medicine, Kyung Hee University)
Kang, Hong-Mo (Department of Internal Medicine, School of Medicine, Kyung Hee University)
Lee, Ju-Hie (Department of Pathology, School of Medicine, Kyung Hee University)
Sung, Dong-Wook (Department of Radiology, School of Medicine, Kyung Hee University)
Publication Information
Tuberculosis and Respiratory Diseases / v.53, no.4, 2002 , pp. 439-444 More about this Journal
Abstract
We report a very rare case of mediastinal tuberculosis in a 57-year old woman who presented with a large mediastinal cyst on chest radiography. She had a 10-year history of exertional dyspnea, but felt comfortable at a rest. A subsequent chest CT suggested a mediastinal cyst with mediastinal lymphadenopathy and communicating pericardial sac. She underwent a thoracotomy and excision of the mass, which was histologically revealed to be of tuberculous origin. Although rare, the apparent increase in the incidence of tuberculosis may result mediastinal cysts being diagnosed mediastinal tuberculosis. We also briefly review mediastinal lymphadenopathy due to tuberculosis.
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