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Primary Hodgkin's Lymphoma of the Esophagus

Emmanuel Coppens1, Issam El Nakadi2, Nathalie Nagy3 and Marc Zalcman1

1 Department of Radiology, Hôpital Erasme, Université Libre de Bruxelles, 808 Route de Lennik, 1070 Brussels, Belgium.
2 Department of Abdominal Surgery, Hôpital Erasme, Université Libre de Bruxelles, 1070 Brussels, Belgium.
3 Department of Pathology, Hôpital Erasme, Université Libre de Bruxelles, 1070 Brussels, Belgium.



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  		Fig. 1A. —61-year-old man with odynophagia and progressive dysphagia. At initial workup, double-contrast esophagogram shows submucosal nodules with confluent areas appearing as enlarged tortuous and ulcerated longitudinal folds that mimic varices in upper and mid esophagus.

 


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  		Fig. 1B. —61-year-old man with odynophagia and progressive dysphagia. CT scan shows marked circumferential thickening of esophageal wall (arrow).

 


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  		Fig. 1C. —61-year-old man with odynophagia and progressive dysphagia. Double-contrast esophagogram obtained 5 months after right upper lobectomy shows aneurysmal dilatation in proximal and mid esophagus.

 


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  		Fig. 1D. —61-year-old man with odynophagia and progressive dysphagia. Double-contrast esophagogram shows fistula to lobectomy cavity and right mainstem bronchus.

 


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  		Fig. 1E. —61-year-old man with odynophagia and progressive dysphagia. CT scan obtained at same level as B shows marked dilatation of esophageal lumen (e) with nodular thickening of esophageal wall, fluid–gas level with barium residue (arrow) in lobectomy cavity, and paraesophageal hypodense lymphadenopathy (arrowhead).

 


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  		Fig. 1F. —61-year-old man with for odynophagia and progressive dysphagia. Photograph of esophagectomy specimen shows ulcerated burgeoning masses partially covered by whitish fibrinous exudate. Diagnosis was Hodgkin's lymphoma of mixed cellularity subtype.

 

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