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Pulmonary hyalinizing granuloma presenting with dysphagia
G C Khilnani1, A Kumar, S Datta Gupta
1Department of Medicine, All India Institute of Medical Sciences, Ansari Nagar, New Delhi-110 029, India.
The Journal of the Association of Physicians of India
|September 17, 2003
Summary
A rare case of pulmonary hyalinizing granuloma (PHG) presented as dysphagia in a non-smoking female. This finding highlights PHG as a potential cause of esophageal symptoms, requiring thorough investigation.
Area of Science:
- Pulmonology
- Gastroenterology
- Pathology
Background:
- Dysphagia is a common symptom with diverse etiologies.
- Pulmonary hyalinizing granuloma (PHG) is a rare benign condition typically affecting the lungs.
Observation:
- A middle-aged, non-smoking female presented with persistent dysphagia.
- Imaging revealed a lobulated mass, with differentials including malignancy, lymphoma, or inflammatory lesions.
- Initial CT-guided biopsy was inconclusive; thoracoscopy revealed an unresectable mass.
Findings:
- Biopsy confirmed the mass as pulmonary hyalinizing granuloma (PHG).
- This is the first reported case of PHG presenting primarily with dysphagia.
Implications:
- PHG should be considered in the differential diagnosis of esophageal symptoms, especially when imaging is suggestive of a mass.
- This case expands the known clinical presentations of PHG.
- Further research into the pathogenesis and diagnostic challenges of PHG is warranted.