Waldeyer's ring involvement in a young patient with Hodgkin lymphoma: Challenges, interdisciplinary findings, and reliability check of the image‐based algorithm for diagnosis and response assessment

Rozwod, Krystyna; Mauz‐Körholz, Christine; Heine, Philipp; Gattenlöhner, Stefan; Langer, Christine; Steiner, Dagmar; Krombach, Gabriele A.; Georgi, Thomas; Kallenberg, Kai; Sabri, Osama; Körholz, Dieter; Kluge, Regine; Bartelt, J.; Stoevesandt, Dietrich; Kurch, Lars

doi:10.1002/pbc.29560

Cited by 2 publications

(1 citation statement)

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“…WR is an essential subtype of MALT, which may show a rarity of low-grade lymphomas and a high incidence of diffuse large B-cell lymphoma [3]. In addition, previous publications have shown that Hodgkin's lymphoma can also involve WR [12,13]. As a consequence, early detection and removal of a lesion similar to WR is of great value and significance.…”

Section: Discussionmentioning

confidence: 99%

A Submucosal Tumor-like Lesion of the Cervical Esophagus Similar to the Tonsillar Structures of Waldeyer’s Ring: A Case Report

Song

Feng

et al. 2022

Medicina

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Esophageal submucosal tumors are rare, but their pathological types are diverse. In addition to the relatively common leiomyomas, some rare submucosal lesions are occasionally reported. Waldeyer’s ring is described as a unique subtype of mucosa-associated lymphoid tissue, located in the naso-oropharynx. Studies have reported that Waldeyer’s ring is the most common site of primary extranodal lymphoma in the head and neck. Interestingly, we encountered an esophageal submucosal tumor-like lesion similar to the tonsillar structures of Waldeyer’s ring. A 38-year-old man underwent esophagoscopy after experiencing swallowing discomfort for 3 months. A protruding submucosal mass with slightly rough mucosa was found at the cervical esophagus approximately 20 cm from the incisors. Considering the possibility of the coexistence of a submucosal tumor and a mucosal lesion, as well as the continuous symptoms of swallowing discomfort, the patient underwent endoscopic submucosal dissection. The lesion was removed en bloc. However, histology revealed a lesion similar to the tonsillar structure of Waldeyer’s ring between the lamina propria and submucosa. The patient was followed up for 6 months without recurrence or complaints. We report a new submucosal lesion and discuss its origin and treatment. Diagnostic ESD might be an effective option until its malignant potential is clarified.

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Section: Discussionmentioning

confidence: 99%