1.Esophageal Cancer with Esophageal Perforation.
The Korean Journal of Gastroenterology 2007;50(5):283-285
2.A Case of Primary Esophageal B-cell Lymphoma of MALT type, Presenting as a Submucosal Tumor.
Chan Sup SHIM ; Joon Seong LEE ; Jin Oh KIM ; Joo Young CHO ; Moon Sung LEE ; So Young JIN ; Wook YOUM
Journal of Korean Medical Science 2003;18(1):120-124
The primary esophageal lymphoma is extremely rare, and shows various morphologic characteristics. Only a single case of mucosa-associated lymphoid tissue (MALT) type lymphoma confined to the esophagus has been reported in the literature. A 61-yr-old man was referred to our hospital for evaluation of an esophageal submucosal tumor (SMT) that had been detected incidentally by endoscopy. He had a history of pulmonary tuberculosis with long-term anti-tuberculosis medication 15 yr before, and also had a history of syphilis, which had been treated one year before. He had been taking a synthetic thyroid hormones for the past 10 months because of an autoimmune thyroiditis. Endoscopy showed a longitudinal round and tubular shaped smooth elevated lesion, which was covered with intact mucosa and located at the mid to distal esophagus, 31 cm to 39 cm from the incisor teeth. Endoscopic ultrasonography (EUS) showed a huge longitudinal growing intermediate- to hypo-echoic mass located in the submucosal layer with internal small, various sized honeycomb-like anechoic lesions suggesting germinal centers. Subsequently, he underwent a surgery, which confirmed the mass as a primary esophageal low-grade B-cell lymphoma of MALT type.
Alcoholism/complications
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Diagnosis, Differential
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Esophageal Neoplasms/pathology*
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Esophageal Neoplasms/radiography
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Esophageal Neoplasms/ultrasonography
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Esophagoscopy
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Gastritis/complications
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Helicobacter Infections/complications
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Hemangioma, Cavernous/diagnosis
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Human
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Incidental Findings
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Lymphoma, Mucosa-Associated Lymphoid Tissue/pathology*
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Lymphoma, Mucosa-Associated Lymphoid Tissue/radiography
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Lymphoma, Mucosa-Associated Lymphoid Tissue/ultrasonography
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Male
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Middle Aged
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Mucous Membrane/pathology
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Neoplasm Invasiveness
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Smoking
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Thyroiditis, Autoimmune/complications
3.Dysphagia due to mediastinal tuberculous lymphadenitis presenting as an esophageal submucosal tumor: a case report.
Seung Ho PARK ; Jun Pyo CHUNG ; In Jae KIM ; Hyo Jin PARK ; Kwan Sik LEE ; Chae Yoon CHON ; In Suh PARK ; Ki Whang KIM ; Doo Yun LEE
Yonsei Medical Journal 1995;36(4):386-391
Mediastinal tuberculous lymphadenitis is rare in adults, and it is even rarer for dysphagia to be the presenting symptom of mediastinal tuberculous lymphadenitis. Mediastinal tuberculous lymphadenitis with esophageal symptoms has been presented as esophageal ulceration, mucosal or submucosal mass with ulceration, fistula or sinus formation, extrinsic compression, or displacement of the esophagus. An exaggerated form of extrinsic compression may be presented as a submucosal tumor, radiologically or endoscopically. A barium esophagography of a 34 year-old woman with painful dysphagia revealed a large submucosal tumor-like mass on the mid-esophagus. The symptom was spontaneously improved over a 3-week period together with reduction of the mass size. A computed tomography of the chest disclosed an enlarged subcarinal lymph node and histologic examination of the specimen obtained by thoracoscopic biopsy brought about a diagnosis of tuberculosis. We herein report a case of mediastinal tuberculosis with unusual manifestations.
Adult
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Case Report
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Deglutition Disorders/*etiology
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Diagnosis, Differential
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Esophageal Neoplasms/*diagnosis
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Esophagoscopy
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Esophagus/pathology/radiography
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Female
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Human
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Mediastinal Diseases/*complications/*diagnosis
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Radiography, Thoracic
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Tomography, X-Ray Computed
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Tuberculosis, Lymph Node/*complications/*diagnosis