Abstract
An 81-year-old woman was admitted to the hospital because of nousea and sever dysphagia. X-ray examination of the esophagus revealed sclerosis of the wall and a narrowing from the middle intrathoraic esophagus (Im) to the intrathoraic esophagus (Ei). CT scan of the chest showed thickening of the wall of the esophagus. Gastro-duodenoscopy could not inserted because of sever stenosis of the esophagus. One month later cervical lymph nodes were palpated and excisional biopsy specimen showed diffuse medium sized type malignant lymphoma classified by LSG classification. Stenosis of the esophagus was improved by chemotherapy, but two months later recurrence was suspected. Endoscopy showed a protruding lesion with ulceration, and biopsy specimen revealed malignant lymphoma similarly.
Malignant lymphomas of the gastrointestinal organs are sometimes found in the stomach and small intestine, but rarely in the esophagus. This paper describes a very rare case of malignant lymphoma of the esophagus.
