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Primary esophageal lymphoma

Imaging findings

CT and endoscopic ultrasound demonstrate a large, solid, pedunculated intraluminal mass occupying most of the thoracic esophagus, which has high attenuation and was easily resected, complicated postoperatively by a perforation requiring an esophageal stent.

Key takeaways

esophago-lymphoma can present as a large, pedunculated intraluminal mass mimicking a fibrovascular polyp or leiomyoma. Perforation is a recognized risk of resection and is managed with stenting.

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