Zenny J C, Grenier P, Favier H, Bernard J F, Nahum H
J Radiol. 1981 Mar;62(3):191-5.
The authors report the first published case of an esophagotracheal fistula revealing the presence of Hodgkin's disease. Esophagotracheal fistula is a very rare complication of this disease, as only about twenty cases were found in the literature, but all these patients had known Hodgkin's disease and had received mediastinal irradiation. Radiotherapy has therefore an adjuvant role, but this case clearly illustrates that these fistulae are mainly the consequence of phenomena that are also extremely rare: necrotic adenopathies, esophageal and tracheal localizations. Biopsy was possibly negative in these cases because of the very necrotic nature of the lesions. The prognosis is poor.
作者报告了首例发表的食管气管瘘病例，该病例揭示了霍奇金病的存在。食管气管瘘是这种疾病非常罕见的并发症，因为文献中仅发现约20例，但所有这些患者均已知患有霍奇金病并接受过纵隔放疗。因此，放疗具有辅助作用，但该病例清楚地表明，这些瘘主要是由同样极为罕见的现象导致的：坏死性淋巴结病、食管和气管局部病变。由于病变具有非常坏死的性质，这些病例的活检可能为阴性。预后很差。
