Primary Esophageal CD30-positive ALK-positive Anaplastic Large Cell Lymphoma: a Case Report and Literature Review
Overview
Oncology
Affiliations
Purpose: To introduce a case of primary esophageal CD30-positive ALK-positive anaplastic large cell lymphoma (ALCL) and discuss its diagnosis and treatment.
Methods: Esophagectomy was done for a 37-year-old male with a submucosal lesion after a frozen section failed to give a definite diagnosis. Samples were sent for hematoxylin-eosin staining and immunohistochemical analysis. Six cycles of CHOP (cyclophosphamide, doxorubicin, vincristine, and prednisone) chemotherapy were given and the patient was followed up.
Results: The operation was uneventful. Postoperative pathologic and immunohistochemical examination yielded a diagnosis of primary CD30-positive and ALK-positive ALCL of the esophagus. The patient was in complete remission at the 14-month follow-up.
Conclusions: ALCL of the esophagus should be considered in the differential diagnosis of esophageal submucosal lesions. Biopsy through either esophagoscopy or surgical exploration, chemotherapy, and radiotherapy can be chosen for long-term survival.
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Al-Maghrabi J, Al-Maghrabi S Gastroenterol Res Pract. 2023; 2023:7302344.
PMID: 36756091 PMC: 9902162. DOI: 10.1155/2023/7302344.
Primary Esophageal Lymphoma: A Rare Entity.
Sachdeva S, Jain A, Dalal A, Puri A GE Port J Gastroenterol. 2022; 29(5):366-368.
PMID: 36159195 PMC: 9485927. DOI: 10.1159/000515840.
Quiroga-Centeno A, Bautista-Parada I, Tapias L, Gomez-Ochoa S Esophagus. 2021; 18(4):734-742.
PMID: 33880688 DOI: 10.1007/s10388-021-00842-0.
Hozaka Y, Sasaki K, Nishikawa T, Onishi S, Noda M, Tsuruda Y Surg Case Rep. 2021; 7(1):41.
PMID: 33544280 PMC: 7865044. DOI: 10.1186/s40792-021-01108-8.