Tracheoesophageal fistula as the presenting manifestation of Hodgkin's lymphoma

D, Alba; Lobato, Salvador Díaz; Álvarez-Sala, R; Villasante, C.; Echevarria, Candelaria Lores

doi:10.1136/pgmj.70.819.49

Cited by 7 publications

(6 citation statements)

References 6 publications

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“…In even rarer cases presentation in extra-nodular sites has been reported (Alba et al, 1994;Dunphy et al, 1996;Ozdemirli et al, 1996). Usually on investigation nodal involvement is already present.…”

Section: Introductionmentioning

confidence: 99%

An unusual cutaneous presentation of Hodgkin's disease

1999

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Hodgkin's disease is a neoplasm of lymphoid tissue defined histopathologically by the presence of Reed-Sternberg cells in an appropriate cellular background. Hodgkin's disease extends only rarely into the skin. Sinus and fistula formation has been reported in very occasional cases. We now report a case of a 34-year-old woman presenting with a cutaneous lesion surrounding a discharging blind-ending sinus in the neck, subsequently diagnosed as Hodgkin's disease. To our knowledge this form of presentation of Hodgkin's disease has not been reported in the English literature before, and at the same time we would like to outline the difficulties in diagnosis encountered with these cutaneous lymphoid lesions.

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Section: Introductionmentioning

confidence: 99%

An unusual cutaneous presentation of Hodgkin's disease

1999

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“…Thus, lymphoma seems to be an extremely rare cause of TEF 9 . Hodgkin's disease has been the lymphoma most frequently associated with TEF, while non‐Hodgkin's lymphoma has rarely been reported 10–12 . To our knowledge, the present case of TEF that developed during chemotherapy for diffuse large B‐cell lymphoma of the thyroid seems to be the first report in the literature.…”

Section: Discussionmentioning

confidence: 73%

Tracheoesophageal fistula secondary to chemotherapy for malignant B-cell lymphoma of the thyroid: successful surgical treatment with jejunal interposition and mesenteric patch

Hosoya¹,

Yokoyama²,

Arai³

et al. 2004

Diseases of the Esophagus

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We report a case of tracheoesophageal fistula (TEF) secondary to chemotherapy for primary thyroid lymphoma. A 65-year-old man with a short history of a rapidly enlarging neck mass was diagnosed as having thyroid lymphoma of diffuse, large B-cell type. The TEF occurred during the first course of chemotherapy including cyclophosphamide, doxorubicin, vincristine and prednisolone. After placing a feeding gastrostomy without oral intake, eight cycles of chemotherapy were completed and complete remission was achieved. Although the cervical mass disappeared, TEF and esophageal stenosis persisted. Total thyroidectomy and resection of the stenotic cervical esophagus were carried out followed by interposition of the revascularized jejunum and its mesenteric patch to cover the TEF. This seems to be the first report of a TEF caused by chemotherapy for primary thyroid B-cell lymphoma. A variety of treatments for TEF including simple closure, tracheal resection, colonic bypass and muscle flap have been reported with low success rates. Our procedure using a jejunal mesenteric patch seems to be unique and may be a new treatment strategy for TEF.

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“…TEF in lymphoma frequently develops during or after treatment with radiation or chemotherapy, but it can occur due to the disease itself. Most of the reports were of Hodgkin lymphomas[ 22 - 25 ]. Even though literature review reveals case reports of NHL with esophageal-tracheobronchial connection, the reported NHLs are not primary esophageal NHLs[ 26 - 28 ].…”

Section: Discussionmentioning

confidence: 99%

Primary esophageal diffuse large B cell lymphoma presenting with tracheoesophageal fistula: A rare case and review

Teerakanok

DeWitt

Juarez

et al. 2017

WJGO

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Primary non-Hodgkin lymphomas in the esophagus are rare. Tracheoesophageal fistulas mainly arise from solid esophageal carcinoma or mediastinal malignancies. Our patient presented with cough, dysphagia and weight loss, and upon initial computed tomography imaging and esophagogastroduodenoscopy, a malignant mass in the middle third of esophagus with tracheoesophageal fistula was found. The location of the mass and presence of malignant tracheoesophageal fistula were strongly suggestive of squamous cell carcinoma. However, tumor biopsy revealed diffuse large B-cell lymphoma. This case report details a rare incident of a primary diffuse large B-cell lymphoma presented as tracheoesophageal fistula and reviews previous literature.

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Tracheoesophageal fistula as the presenting manifestation of Hodgkin's lymphoma

Abstract: Summary:We present a patient with tracheoesophageal fistula as the initial manifestation of Hodgkin's disease with oesophageal involvement. To our knowledge, this has not been previously reported. The diagnosis of Hodgkin's lymphoma was made at autopsy.

Cited by 7 publications

References 6 publications

An unusual cutaneous presentation of Hodgkin's disease

An unusual cutaneous presentation of Hodgkin's disease

Tracheoesophageal fistula secondary to chemotherapy for malignant B-cell lymphoma of the thyroid: successful surgical treatment with jejunal interposition and mesenteric patch

Primary esophageal diffuse large B cell lymphoma presenting with tracheoesophageal fistula: A rare case and review

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