Lymphomas of the gastrointestinal tract are very rare. Primary and secondary oesophageal lymphoma account for less than 1% of all gastrointestinal lymphomas. Secondary oesophageal involvement is by contiguous spread from the stomach or surrounding lymph nodes. Patients with oesophageal lymphoma have varying presentations and complications which include perforation with a tracheo-oesophageal fistula, mass and haemorrhage.
We present a case of recurrence of Hodgkin lymphoma involving the oesophagus and the surrounding lymph nodes. A 75-year-old male presented with dysphagia. He was diagnosed three years ago with Hodgkin lymphoma stage 2A and was managed by chemotherapy. Barium swallow was performed for the present complaint which showed a 12 mm lesion situated 5 cm above the cardio-oesophageal junction. Urgent gastroscopy was done, and the lesion was biopsied. The PET scan revealed FDG avid oesophageal malignancy with probable FDG avid nodal disease around the proximal lesser curvature of the stomach.