Primary Hodgkin's disease of the esophagus

A 30-year-old man with progressive dysphagia and pain on alcohol ingestion was shown to have a mass lesion confined to the esophageal wall. The mass proved to be Hodgkin's disease. It was treated by surgical excision and radiotherapy and the patient remains well, five years after onset. While Hodgkin's disease presenting in the esophagus is rare, it warrants inclusion in the differential diagnosis of esophageal mass lesions.