Hodgkin's disease with esophageal involvement.

Introduction. - Esophageal involvement in Hodgkin's disease, commonly known as a belated localization of the advanced forms, has been seldom reported (3 to 5% in post-mortem series and 0.7% in clinical series). Exegesis. - We report the case of a 61-year-old man who had an esophagus lo calization revealing Hodgkin's disease stage IV EBb of Ann Arbor classifica tion. The originality of this case was represented by the revelation mode o f the esophageal involvement such as dysphagia and upper gastrointestinal b leeding; the localization at the distal third of the esophagus with contigu ous involvement of the gastric fundus; the absence of mediastinal nodes sho wing the primitive character of the esophageal injury. Conclusion. - This observation incites us to consider Hodgkin's disease in the list of differential diagnoses of tumoral dysphagia, even if there was no ganglionic and/or visceral localization of the disease. (C) 2000 Edition s scientifiques et medicales Elsevier SAS.