Journal Information
Vol. 35. Issue 6.
Pages 381-382 (June 2016)
Share
Share
Download PDF
More article options
Visits
4795
Vol. 35. Issue 6.
Pages 381-382 (June 2016)
Image in Cardiology
Open Access
An esophageal lymphoma discovered by echocardiography
Um linfoma esofágico descoberto por ecocardiografia
Visits
4795
Raffaele Pellecchiaa, Giordano Zampia,
Corresponding author
giordano.zampi@alice.it

Corresponding author.
, Amedeo Pergolinib, Luigi Sommarivaa
a Department of Cardiology, Belcolle Hospital, Viterbo, Italy
b Department of Cardiovascular Science, “S. Camillo-Forlanini” Hospital, Rome, Italy
This item has received

Under a Creative Commons license
Article information
Full Text
Download PDF
Statistics
Figures (1)
Additional material (1)
Full Text

In this Image in Cardiology we describe the case of a lymphoma of the esophagus discovered by transthoracic echocardiography.

A 50-year-old Caucasian male was referred to our echocardiography laboratory complaining of epigastric pain and exertional dyspnea. Standard transthoracic echocardiography showed an ovoid, heterogeneous mass measuring about 4 cm×2 cm extending between the left atrium and the descending aorta (Figure 1a and b, Movie clip 1), not causing compression of the left atrium or the pulmonary veins.

Figure 1.

Top: transthoracic echocardiography, (a) apical 4-chamber view showing a mass to the rear of the left atrium and (b) zoom view on the mass; bottom: computed tomography of the chest, axial view, showing a mass constricting the distal esophagus.

(0.13MB).

Total body computed tomography with iodinated contrast was promptly performed, which showed a hypodense lesion, measuring about 7 cm, of a thickened (about 3 cm) distal esophagus (Figure 1c and d), accompanied by enlarged satellite lymph nodes.

Significant narrowing of the distal esophagus was also revealed by Gastrografin swallow.

Endoscopic examination was performed showing an ulcerated mass with circumferential growth constricting the distal third of the esophageal lumen. Multiple biopsies were obtained and histologic examination showed large, atypical lymphoid cells positive for CD30 and ALK.

The mass was accordingly diagnosed as a primary anaplastic large cell lymphoma of the esophagus.

Ethical disclosuresProtection of human and animal subjects

The authors declare that no experiments were performed on humans or animals for this study.

Confidentiality of data

The authors declare that no patient data appear in this article.

Right to privacy and informed consent

The authors declare that no patient data appear in this article.

Conflicts of interest

The authors have no conflicts of interest to declare.

Acknowledgments

We are grateful to sonographer Chiadon Secka, who performed the transthoracic echocardiography.

Copyright © 2016. Sociedade Portuguesa de Cardiologia
Download PDF
Idiomas
Revista Portuguesa de Cardiologia (English edition)
Article options
Tools
Supplemental materials
en pt

Are you a health professional able to prescribe or dispense drugs?

Você é um profissional de saúde habilitado a prescrever ou dispensar medicamentos

By checking that you are a health professional, you are stating that you are aware and accept that the Portuguese Journal of Cardiology (RPC) is the Data Controller that processes the personal information of users of its website, with its registered office at Campo Grande, n.º 28, 13.º, 1700-093 Lisbon, telephone 217 970 685 and 217 817 630, fax 217 931 095, and email revista@spc.pt. I declare for all purposes that the information provided herein is accurate and correct.