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Han C, Lin R, Xu M, Liu J, Ding Z. Primary mucosa-associated lymphoid tissue lymphoma of the entire esophagus diagnosed by endoscopic ultrasound-guided fine needle aspiration. Endoscopy 2022; 54:E694-E695. [PMID: 35226934 DOI: 10.1055/a-1722-2386] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Affiliation(s)
- Chaoqun Han
- Division of Gastroenterology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
| | - Rong Lin
- Division of Gastroenterology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
| | - Mingyao Xu
- Department of Endoscopy, Hubei Cancer Hospital, Wuhan, China
| | - Jun Liu
- Division of Gastroenterology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
| | - Zhen Ding
- Division of Gastroenterology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
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Oría IC, Pizzala JE, Villaverde AM, Urgiles DC, Wright FG, Jauk F, Kohan D, Marcolongo MM. Primary lymphoma of the entire esophagus diagnosed by endoscopic ultrasound-guided fine needle aspiration (EUS-FNA). Radiol Case Rep 2021; 16:1242-1244. [PMID: 33868528 PMCID: PMC8041659 DOI: 10.1016/j.radcr.2021.02.051] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2020] [Revised: 02/17/2021] [Accepted: 02/20/2021] [Indexed: 11/28/2022] Open
Abstract
Primary esophageal lymphoma is extremely rare, with fewer than 30 cases reported in the literature. Presentation is nonspecific with multiple radiological and endoscopic appearances, posing its diagnosis a challenge. We report a case of a primary esophageal lymphoma diagnosed by endoscopic ultrasound-fine needle aspiration in a 68-year-old woman referred to our hospital for evaluation of a submucosal tumor spreading all over the esophageal wall. We describe its clinical and imaging features and stand out the importance of having a specific preoperatory diagnosis in order to avoid a major surgery.
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Affiliation(s)
- Inés C Oría
- Department of Gastroenterology, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina
| | - Juan E Pizzala
- Department of Gastroenterology, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina
| | - Augusto M Villaverde
- Department of Gastroenterology, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina
| | - Dalila C Urgiles
- Department of Gastroenterology, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina
| | - Fernando G Wright
- Department of Abdominal Surgery, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina
| | - Federico Jauk
- Department of Pathology, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina
| | - Dana Kohan
- Department of Pathology, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina
| | - Mariano M Marcolongo
- Department of Gastroenterology, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina
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Takeuchi Y, Miyahara K, Morito T, Okikawa Y, Kinugasa H, Moritou Y, Higashi R, Kunihiro M, Nakagawa M. The Progression of Esophageal Mucosa-associated Lymphoid Tissue Lymphoma after Helicobacter pylori Eradication Therapy: A Case Report and Discussion of Therapeutic Options. Intern Med 2019; 58:207-212. [PMID: 30146577 PMCID: PMC6378146 DOI: 10.2169/internalmedicine.1112-18] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
Abstract
A 50-year-old woman with epigastric discomfort was referred to our hospital. Esophagogastroduodenoscopy showed flat, elevated, submucosal tumor-like lesions in the esophagus. Extranodal marginal zone lymphoma of the mucosa-associated lymphoid tissue (MALT lymphoma) of the esophagus was diagnosed based on the examination of an endoscopic biopsy specimen. Computed tomography showed the enlargement of a lymph node in the gastric cardia. The present case showed disease progression despite Helicobacter pylori eradication therapy and achieved partial remission after rituximab monotherapy. The patient remained in partial remission for 20 months. This case suggests that esophageal MALT lymphoma with lymph node involvement does not respond to H. pylori eradication therapy and that it requires systemic treatment.
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Affiliation(s)
- Yukari Takeuchi
- Department of Internal Medicine, Hiroshima City Hospital, Japan
| | - Koji Miyahara
- Department of Internal Medicine, Hiroshima City Hospital, Japan
| | | | | | | | - Yuki Moritou
- Department of Internal Medicine, Hiroshima City Hospital, Japan
| | - Reiji Higashi
- Department of Internal Medicine, Hiroshima City Hospital, Japan
| | - Masaki Kunihiro
- Department of Internal Medicine, Hiroshima City Hospital, Japan
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Kobayashi S, Iwamuro M, Nishida K, Tanaka T, Kawano S, Kawahara Y, Yoshino T, Okada H. Primary Localized Esophageal Mucosa-associated Lymphoid Tissue Lymphoma Treated by Endoscopic Submucosal Dissection. Intern Med 2018; 57:2347-2352. [PMID: 29607943 PMCID: PMC6148167 DOI: 10.2169/internalmedicine.0487-17] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/17/2022] Open
Abstract
A 69-year-old Japanese woman presented to our hospital for the further investigation of an esophageal subepithelial tumor. A diagnosis of extranodal marginal zone lymphoma of mucosa-associated lymphoid tissue (MALT lymphoma) was made by an endoscopic biopsy. The patient had no involvement other than the esophagus. The tumor was resected using endoscopic submucosal dissection. Lymphoma recurrence has not been documented in the 57 months since resection. This case suggests that although a detailed preoperative evaluation is required to determine the extent of tumor, endoscopic resection may be an option for the long-term disease control of MALT lymphoma of the esophagus.
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Affiliation(s)
- Sayo Kobayashi
- Department of Gastroenterology and Hepatology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Japan
- Department of Internal Medicine, Fukuyama City Hospital, Japan
| | - Masaya Iwamuro
- Department of Gastroenterology and Hepatology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Japan
| | - Kenji Nishida
- Department of Pathology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Japan
| | | | - Seiji Kawano
- Department of Gastroenterology and Hepatology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Japan
| | | | - Tadashi Yoshino
- Department of Pathology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Japan
| | - Hiroyuki Okada
- Department of Gastroenterology and Hepatology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Japan
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Malik AO, Baig Z, Ahmed A, Qureshi N, Malik FN. Extremely rare case of primary esophageal mucous associated lymphoid tissue lymphoma. World J Gastrointest Endosc 2013; 5:446-449. [PMID: 24044044 PMCID: PMC3773857 DOI: 10.4253/wjge.v5.i9.446] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/24/2013] [Revised: 06/29/2013] [Accepted: 08/06/2013] [Indexed: 02/05/2023] Open
Abstract
SJ is a 37-year-old male who presented with one year history of dysphagia, odynophagia and 15 pounds weight loss. He underwent endoscopic evaluation which showed mid esophageal ulcers. It was thought that the cause of the ulcer was the multivitamins and the patient was asked to stop them. Furthermore Esomeprazole therapy was also initiated. Patient’s symptoms persisted but he did not seek any medical attention until about one year later. Meanwhile the patient reported additional 15 pounds of weight loss. We repeated upper endoscopy again which showed evidence of two chronic non bleeding irregular friable ulcerations seen in the mid esophagus, 31 cm from the incisors. Biopsies and frozen section were taken and sent for assessment to the Pathology lab. Immunoperoxidase studies on frozen sections showed the presence of IgM and for most plasma cells IgG. The microscopic and histologic findings were consistent with mucous associated lymphoid tissue lymphoma with plasmocytic differentiation. Computed tomographic scan done showed no evidence of spread to adjacent structures. The patient was referred to oncology and several cycles of radiation and Rituximab therapy were initiated which cured the disease. Subsequent endoscopies with blind biopsies were done which were negative for any neoplastic process.
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