Chronic dysphagia as a presenting complaint for primary mediastinal diffuse large B-cell lymphoma.

Autor:	Eslinger L; University of Kentucky College of Medicine, Lexington, Kentucky, USA., Ahmed T; Department of Internal Medicine, University of Kentucky Medical Center, Lexington, Kentucky, USA., Lodhi SH; Department of Internal Medicine, University of Kentucky Medical Center, Lexington, Kentucky, USA., Ahmed T; Department of Internal Medicine, University of Kentucky Medical Center, Lexington, Kentucky, USA tahaahmedfairview@gmail.com.
Jazyk:	angličtina
Zdroj:	BMJ case reports [BMJ Case Rep] 2023 Jan 12; Vol. 16 (1). Date of Electronic Publication: 2023 Jan 12.
DOI:	10.1136/bcr-2022-253357
Abstrakt:	Diffuse large B-cell lymphoma (DLBCL) is the most common lymphoid malignancy in adults. It manifests a variable presentation, depending on the tissue in which it arises. Rarely, it can present as dysphagia to solid and liquid foods in primary oesophageal lymphoma with or without B symptoms. We present a case of a 66-year-old man who presented with 3 months of progressive dysphagia with only a mild associated weight loss. This was later found to be caused by DLBCL of the mediastinum causing external compression of the patient's distal oesophagus and gastric cardia. He was treated with one cycle of standard-of-care chemotherapy and subsequently discharged with outpatient follow-up. We emphasise the importance of ruling out life-threatening conditions such as lymphoma in patients who present with dysphagia, as well as the high variability in presentation of DLBCL. Competing Interests: Competing interests: None declared. (© BMJ Publishing Group Limited 2023. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
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