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KMID : 0882420060710060694
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Korean Journal of Medicine
2006 Volume.71 No. 6 p.694 ~ p.698
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A case of primary esophageal T-cell malignant lymphoma.
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Han Yang-Chun
Kang Myoung-Joo
Park Jeong-Ha
Lee Won-Sik
Sohn Chang-Hak
Kim Chan-Hwan
Joo Young-Don
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Abstract
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Gastrointestinal tract (GIT) lymphomas usually originate from B-lymphocytes but rarely from T-lymphocytes. The stomach is the most common site for extranodal GIT lymphoma but the esophagus is a rare site. In addition, a primary esophageal T-cell lymphoma is an uncommon disorder. We encountered a case of a primary esophageal T-cell lymphoma in a 60-year-old man, who had swallowing difficulties and multiple ulcers in the upper and lower esophageal mucosa on gastroscopy. Immunohistochemical staining for the biopsy material from the multiple esophageal ulcers tested positive for LCA and CD45RO (pan T-cell marker) and negative for cytokeratin and CD20 reactivity, respectively. No other abnormal lesions were observed on a computed tomography scan of the neck, chest, abdomen and pelvis. After six cycles of combination chemotherapy with cyclophosphamide, adriamycin, vincristin, prednisolone, etoposide and gemcitabine, the multiple esophageal ulcers had completely disappeared suggesting a complete clinical response. We report this case with a review of the relevant literature.
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KEYWORD
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Esophagus, T-cell lymphoma
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