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Kim, Lim, Park, Yoon, Jung, Son, Lee, Yoon, Kang, Moon, Park, Kim, Chang, Shin, and Kim: The Importance of the Simple Chest X-ray Tend to Make Careless Interpretation: with a Case of Mediastinal Tumor
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Tuberculosis and Respiratory Diseases

Tuberculosis and Respiratory Diseases 2009; 66(6): 482-485.

Published online: 30 June 2009

DOI: https://doi.org/10.4046/trd.2009.66.6.482

The Importance of the Simple Chest X-ray Tend to Make Careless Interpretation: with a Case of Mediastinal Tumor

Eun Young Kim, M.D.1, Ju Eun Lim, M.D.1, Byung Hoon Park, M.D.1, Jin Young Yoon, M.D.1, Ji Ye Jung, M.D.1, Ji Young Son, M.D.1, Kyung Jong Lee, M.D.1, Yoe Wun Yoon, M.D.1, Young Ae Kang, M.D.1, 2, Jin Wook Moon, M.D.1, 2, Moo Suk Park, M.D.1, 2, Young Sam Kim, M.D.1, 2, Joon Chang, M.D.1, 2, Sung Kwan Shin, M.D.1, 3, Se Kyu Kim, M.D.1, 2

1Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.

2The Institutes of Chest Diseases, Yonsei University College of Medicine, Seoul, Korea.

3The Institutes of Gastroenterology, Yonsei University College of Medicine, Seoul, Korea.

Address for correspondence: Se Kyu Kim, M.D. Department of Internal Medicine, Yonsei University College of Medicine, 250, Seongsan-ro, Seodaemun-gu, Seoul 120-752, Korea. Phone: 82-2-2228-1954, Fax: 82-2-393-6884, sekyukim@yuhs.ac

Received 20 April 2009       Accepted 4 June 2009

Copyright©2009. The Korean Academy of Tuberculosis and Respiratory Diseases. All rights reserved.

Abstract

The middle mediastinum contains several important organs and pluripotent cells. It is difficult to make a definitive diagnosis in patients with middle mediastinal tumors due to a wide range of diseases. The likelihood of malignancy is influenced primarily by the following factors: patient age, size, tumor location, and the presence or absence of symptoms. We describe a case of a middle mediastinal tumor, which was suspected on chest x-ray; chest computed tomography revealed the eccentric mass of distal esophagus. This case emphasizes the diagnostic importance of the chest x-ray to the physicians. The possible differential diagnoses are reviewed.

Keywords: Leiomyoma, Mediastinal neoplasms

Figures and Tables

Figure 1
Chest X-ray showed a mass-like lesion at carina (arrow).
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Figure 2
Endoscopic finding of esophageal submucosal tumor. There was a 1.7 cm-sized elevated lesion, which was covered with normal esophageal mucosa and showed positive rolling-sign, at 28 cm from incisor.
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Figure 3
Endoscopic finding of esophageal submucosal tumor. There was a 1.7 cm-sized elevated lesion, which was covered with normal esophageal mucosa and showed positive rolling-sign, at 28 cm from incisor.
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Figure 4
Endoscopic ultrasound finding of esophageal submucosal tumor. Endoscopic ultrasound revealed a 1.7 cm-sized rounded, smooth-margined, well demarcated exoluminal growing mass. It was visualized as hypoechoic homogenous mass originated from the muscularis propria, consistent with leiomyoma.
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References

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