Abstract
Primary isolated esophageal Hodgkin’s lymphoma is seldom in localization and when seen, it is usually the non-Hodgkin’s type. We reported a 68-year-old, diabetic and ex-smoker, presented to our hospital complaining of progressive difficulty of swallowing for nine months for both solid and liquid. He was on proton pump inhibitors. Recently, he had fever and drenching night sweat and significant loss of weight. He was diagnosed as a case of isolated esophageal Hodgkin’s lymphoma that was diagnosed based on endoscopic and radiological findings. Clinical manifestations, radiological imagines and histopathological features were described. Clinical management, fellow-up and outcome were precisely discussed.
Highlights
The esophagus is an unusual site for lymphomas less than 1% of patients with lymphoma and is commonly seen secondary to mediastinal nodes or gastric lymphoma [1] [2]
Endoscopic ultrasound (EUS) with fine needle aspiration (FNA) were done under full sterilization procedure, the patient was connected to the monitoring devices and placed in the left lateral position
The patient was diagnosed as a case Hodgkin lymphoma for chemotherapy
Summary
The esophagus is an unusual site for lymphomas less than 1% of patients with lymphoma and is commonly seen secondary to mediastinal nodes or gastric lymphoma [1] [2]. Isolated primary esophageal lymphoma is extremely rare, and when it is diagnosed, it is always non-Hodgkin. Less than twenty percent of lymphomas present with extranodal localization as known [3]. Hodgkin’s lymphoma (HL) is typically a systemic disease characterized by the presence of Reed-Sternberg cells as considered to be a type of B cells.
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