Njeh M, Yengui N, Tahri N, Kchaou M, Sellami A, Jlidi R, Krichen M S
Service des maladies de l'appareil digestif, EPS Hédi-Chaker, Sfax, Tunisie.
Rev Med Interne. 2000 Oct;21(10):893-6. doi: 10.1016/s0248-8663(00)00240-x.
Esophageal involvement in Hodgkin's disease, commonly known as a belated localization of the advanced forms, has been seldom reported (3 to 5% in post-mortem series and 0.7% in clinical series).
We report the case of a 61-year-old man who had an esophagus localization revealing Hodgkin's disease stage IV EBb of Ann Arbor classification. The originality of this case was represented by: the revelation mode of the esophageal involvement such as dysphagia and upper gastrointestinal bleeding; the localization at the distal third of the esophagus with contiguous involvement of the gastric fundus; the absence of mediastinal nodes showing the primitive character of the esophageal injury.
This observation incites us to consider Hodgkin's disease in the list of differential diagnoses of tumoral dysphagia, even if there was no ganglionic and/or visceral localization of the disease.
霍奇金病累及食管，通常被认为是晚期病变的延迟定位，鲜有报道（尸检系列中为3%至5%，临床系列中为0.7%）。
我们报告一例61岁男性病例，其食管定位显示为Ann Arbor分类的IV期EBb霍奇金病。该病例的独特之处在于：食管受累的表现形式如吞咽困难和上消化道出血；食管远端三分之一处定位并伴有胃底连续受累；无纵隔淋巴结显示食管损伤的原发性特征。
该病例促使我们在肿瘤性吞咽困难的鉴别诊断清单中考虑霍奇金病，即使该病没有淋巴结和/或内脏定位。
