A Case of Primary Malignant Lymphoma of the Esophagus

Yoshihiro Hiramatsu, Hirotoshi Kikuchi, Masayoshi Yamamoto, Kenji Kondo*, Megumi Baba, Manabu Ohta, Kinji Kamiya, Tatsuo Tanaka*, Shohachi Suzuki and Hiroyuki Konno

Second Department of Surgery and Department of Endoscopic and Photodynamic Medicine*, Hamamatsu University School of Medicine

A 60-year-old man with dysphasia was found by esophagography and endoscopy to have an 8.5 cm diameter ulcerative type 3 lesion in the upper-middle thoracic esophagus. An endoscopic biopsy specimen taken from the bottom of an ulcer after scavenging showed non-Hodgkin's lymphoma of the esophagus. We chose surgical resection followed by chemotherapy rather than chemotherapy alone, considering that his risk of esophageal perforation would be high due to the rapidly progressing ulcer. After transthoracic esophagectomy, pyothrax and severe pneumonia caused by MRSA occurred simultaneously. After his general condition improved, we conducted additional chemotherapy with CHOP. The man remains well without evidence of recurrence 3 years since treatment.

Key words
esophagus, malignant lymphoma

Reprint requests
Yoshihiro Hiramatsu Second Department of Surgery, Hamamatsu University School of Medicine
1-20-1 Handayama, Hamamatsu, 431-3192 JAPAN

Accepted
October 25, 2006

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