Abstract
Purpose
To introduce a case of primary esophageal CD30-positive ALK-positive anaplastic large cell lymphoma (ALCL) and discuss its diagnosis and treatment.
Methods
Esophagectomy was done for a 37-year-old male with a submucosal lesion after a frozen section failed to give a definite diagnosis. Samples were sent for hematoxylin–eosin staining and immunohistochemical analysis. Six cycles of CHOP (cyclophosphamide, doxorubicin, vincristine, and prednisone) chemotherapy were given and the patient was followed up.
Results
The operation was uneventful. Postoperative pathologic and immunohistochemical examination yielded a diagnosis of primary CD30-positive and ALK-positive ALCL of the esophagus. The patient was in complete remission at the 14-month follow-up.
Conclusions
ALCL of the esophagus should be considered in the differential diagnosis of esophageal submucosal lesions. Biopsy through either esophagoscopy or surgical exploration, chemotherapy, and radiotherapy can be chosen for long-term survival.
References
Stein H, Mason DY, Gerdes J, et al. The expression of the Hodgkin’s disease associated antigen Ki-1 in reactive and neoplastic lymphoid tissue: evidence that Reed–Sternberg cells and histiocytic malignancies are derived from activated lymphoid cells. Blood. 1985;66:848–58.
Delsol G, Ralfkiaer E, Sein H, et al. Anaplastic large cell lymphoma. In: Jaffe ES, Harris NL, Stein H, Vardiman JW, editors. Pathology and genetics of tumours of haematopoietic and lymphoid tissues. World Health Organization Classification of Tumours. Lyon: IARC; 2001. p. 230–5.
Herrmann R, Panahon AM, Barcos MP, et al. Gastrointestinal involvement in non-Hodgkin’s lymphoma. Cancer. 1980;46:215–22.
Rosenberg SA, Diamond HD, Jaslowitz B, et al. Lymphosarcoma: a review of 1269 cases. Medicine (Baltimore). 1961;40:31–83.
Pearson JM, Borg-Grech A. Primary Ki-1 (CD30)-positive, large cell, anaplastic lymphoma of the esophagus. Cancer. 1991;68:418–21.
Ross CW, Hanson CA, Schnitzer B. CD30 (Ki-1)-positive, anaplastic large cell lymphoma mimicking gastrointestinal carcinoma. Cancer. 1992;70:2517–23.
Yaakup H, Sagap I, Fadilah SAW. Primary oesophageal Ki (CD30)-positive ALK+ anaplastic large cell lymphoma of T-cell phenotype. Singapore Med J. 2008;49:289–92.
Doki T, Hamada S, Murayama H, et al. Primary malignant lymphoma of the esophagus. A case report. Endoscopy. 1984;16:189–92.
Stein H, Foss HD, Durkop H, et al. CD30+ anaplastic large cell lymphoma: a review of its histopathologic, genetic, and clinical features. Blood. 2000;96:3681–95.
Mary A, Jennifer S, Sarah E, et al. Different gene expression in anaplastic lymphoma kinase-positive and anaplastic lymphoma kinase-negative anaplastic large cell lymphomas. Hum Pathol. 2005;36:494–504.
Sicinska E, Aifantis I, Le Dam L, et al. Requirements for cyclin D3 in lymphocyte development and T cell leukemias. Cancer Cell. 2003;4:451–61.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Wu, N., Pang, L., Chen, Z. et al. Primary Esophageal CD30-Positive ALK-Positive Anaplastic Large Cell Lymphoma: A Case Report and Literature Review. J Gastrointest Canc 42, 57–60 (2011). https://doi.org/10.1007/s12029-010-9147-y
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12029-010-9147-y