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Anaplastic lymphoma of the cervical esophagus presenting as a tracheoesophageal fistula
Author(s) -
Joshi Anil,
Fields Paul,
Simo Ricard
Publication year - 2008
Publication title -
head and neck
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.012
H-Index - 127
eISSN - 1097-0347
pISSN - 1043-3074
DOI - 10.1002/hed.20774
Subject(s) - medicine , lymphoma , histopathology , anaplastic large cell lymphoma , anaplastic lymphoma kinase , tracheoesophageal fistula , pathology , esophagus , presentation (obstetrics) , pharyngeal pouch , immunohistochemistry , radiology , surgery , lung cancer , malignant pleural effusion
Background Anaplastic kinase‐1 positive lymphoma (ALK‐1) is a very rare but distinct pathologic entity. ALK‐1 lymphoma tends to affect the bone marrow, skin, lungs, soft tissue, but very rarely the gastrointestinal tract. Methods We report a case of ALK‐1 positive lymphoma presenting as a tracheoesophageal fistula. The clinical presentation, histopathology, and management outcome are all discussed. Conclusion ALK‐1 positive lymphoma of the upper aerodigestive involvement is extremely rare. An unusual presentation such as pharyngeal pouch with vocal cord palsy should suggest pathology. Histopathologic analysis can be difficult and immunohistochemical studies will aid are of paramount importance in the diagnosis and help in subsequent management and also act as prognostic indicators. © 2008 Wiley Periodicals, Inc. Head Neck, 2008