A Case Report of Mimicking Sub mucosal Tumor on Esophageal Tuberculosis

Abstract

Primary esophageal tuberculosis (TB) mimicking submucosal tumors is an extremely rare disease that is difficult to distinguish from benign and malignant tumors. Most esophageal TB cases along with ulcer were diagnosed via routine upper gastrointestinal endoscopy. With the development of new technologies and methods, new progress has emerged in the diagnosis and treatment of esophageal TB. The submucosal tunneling endoscopic resection (STER) solutions are a minimally invasive procedure. The STER technique has been used instead of thoracotomy for diagnosis and treatment esophageal submucosal tumors including esophageal tuberculosis, which has less trauma, shorter hospital stay, less cost and lower complication. Here, we present a case of primary esophageal tuberculosis with non-progressive dysphagia for 4 months in a 41-year-old female. The submucosal tumor originated from the muscularis propria layer of middle piece esophagus wall was firstly diagnosed with upper gastrointestinal endoscope and endoscopic ultrasound examination. We confirmed that the submucosal tumor reveal features suggestive of tuberculosis based on histopathology via STER.