Dysphagia in a patient with a history of large B-cell lymphoma: esophageal disease with negative biopsy findings.
A patient with a previous diagnosis of lymphoma showed signs of dysphagia. Endoscopy found a lesion of the esophagus. Brush cytology and biopsy sampling were accomplished. The biopsy showed inflammation and granulation tissue but no tumor. The cytology specimen, however, was diagnostic of lymphoma. This case emphasizes the need for obtaining cytologic specimens concurrently with biopsies of esophageal lesions.
Crook
Terri W
TW
Department of Pathology, University of Iowa Hospitals and Clinics, 200 Hawkins Drive, Iowa City, IA 52242-1009, USA.
Robinson
Robert A
RA
D003581:Cytodiagnosis / Q000379:methods; D003680:Deglutition Disorders / Q000209:etiology*; D004938:Esophageal Neoplasms / Q000150:complications* / Q000473:pathology; D004945:Esophagoscopy; D004947:Esophagus / Q000473:pathology*; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D016393:Lymphoma, B-Cell / Q000150:complications* / Q000473:pathology; D016403:Lymphoma, Large B-Cell, Diffuse / Q000150:complications* / Q000473:pathology; D008875:Middle Aged; D013964:Thyroid Neoplasms / Q000150:complications / Q000473:pathology