An unusual cause of dysphagia with bronchoesophageal fistula.

An unusual cause of dysphagia with bronchoesophageal fistula.

J Thorac Oncol. 2016 Jun 13;

Authors: Vale Rodrigues R, Ferreira S, Dias Pereira A

Abstract
A 57-year-old man presented with a four-week history of dysphagia and cough. An upper gastrointestinal endoscopy reveled an obstructive neoplasm in the mid esophagus; Chest computed tomography (CT) showed a large peri-bronchial mass with bronchoesophageal fistula, and bronchoscopy reveled bronchial infiltration and marked caliber reduction of the left main bronchus. Repeated biopsies of esophageal and bronchial lesions were negative for dysplasia or neoplasia. After a false positive PCR test for Mycobacterium tuberculosis, endoscopic reassessment was performed, observing increase of esophageal lesion and extensive tracheobronchial destruction forming a large necrotic cavity into the mediastinum. Histopathological analysis revealed the diagnosis of diffuse large B-cells lymphoma. A bronchoesophageal fistula with esophageal mass in the setting of mediastinal lymphoma is extremely rare and diagnosis requires a high level of suspicion.

PMID: 27311995 [PubMed - as supplied by publisher]

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