A Case of Primary Malignant Lymphoma of the Esophagus

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  • Hiramatsu Yoshihiro
    Second Department of Surgery, Hamamatsu University School of Medicine
  • Kikuchi Hirotoshi
    Second Department of Surgery, Hamamatsu University School of Medicine
  • Yamamoto Masayoshi
    Second Department of Surgery, Hamamatsu University School of Medicine
  • Kondo Kenji
    Department of Endoscopic and Photodynamic Medicine, Hamamatsu University School of Medicine
  • Baba Megumi
    Second Department of Surgery, Hamamatsu University School of Medicine
  • Ohta Manabu
    Second Department of Surgery, Hamamatsu University School of Medicine
  • Kamiya Kinji
    Second Department of Surgery, Hamamatsu University School of Medicine
  • Tanaka Tatsuo
    Department of Endoscopic and Photodynamic Medicine, Hamamatsu University School of Medicine
  • Suzuki Shohachi
    Second Department of Surgery, Hamamatsu University School of Medicine
  • Konno Hiroyuki
    Second Department of Surgery, Hamamatsu University School of Medicine

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  • 食道原発悪性リンパ腫の１例

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Abstract

A 60-year-old man with dysphasia was found by esophagography and endoscopy to have an 8.5cm 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.

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