Thorac Cardiovasc Surg 2010; 58(2): 124-126
DOI: 10.1055/s-2008-1039266
Case Reports

© Georg Thieme Verlag KG Stuttgart · New York

Mediastinal Tuberculous Lymphadenitis with Intractable Fistula to the Neck

K. Miwa1 , S. Fujioka1 , Y. Adachi1 , T. Haruki1 , Y. Taniguchi1 , H. Nakamura1
  • 1General Thoracic Surgery, Tottori University Hospital, Yonago, Japan
Further Information

Publication History

received August 7, 2008

Publication Date:
23 March 2010 (online)


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.


Dr. Ken Miwa

Tottori University Hospital
General Thoracic Surgery

36–1 Nishi-Cho

683–8504 Yonago


Phone: + 81 8 59 38 67 37

Fax: + 81 8 59 38 67 30