[Primary esophageal lymphoma].

Area of Science:

• Oncology
• Gastroenterology
• Thoracic Surgery

Background:

• Primary esophageal lymphoma is a rare malignancy.
• Dysphagia is a common presenting symptom.

Observation:

• A 54-year-old woman presented with a 7-month history of dysphagia due to an esophageal mass.
• The mass was diagnosed as primary esophageal lymphoma.

Findings:

• Surgical resection followed by R-CHOP chemotherapy (cyclophosphamide, prednisone, doxorubicin, rituximab, vincristine) was performed.
• The patient developed an esophageal pleural fistula, successfully managed with drainage and irrigation.
• The patient achieved a disease-free status at 2.5 years post-treatment.

Implications:

• This case highlights a successful multimodal treatment approach for primary esophageal lymphoma.
• Management of post-operative complications like esophageal pleural fistula is crucial for patient outcomes.
• Long-term follow-up is essential for patients with rare esophageal malignancies.