case_images: PMC10849818_01
case_images: Esophagogastroduodenoscopy showing esophageal ulcerated stenosis (demonstrated by the red arrow) in the mid-esophagus.
case_images: cureus-0016-00000051885-i01.jpg
case_images: PMC10849818_01_cureus-0016-00000051885-i01.jpg
case_images: FIG1
case_images: Repeat EGD demonstrated a large, circumferential ulcerated mass at 25 cm from the incisors with luminal stenosis (Figure 1).
case_images: Endoscopic ultrasound depicting a heterogenous mass, as measured by the blue line, is seen invading past the muscularis propria.
case_images: cureus-0016-00000051885-i02.jpg
case_images: PMC10849818_01_cureus-0016-00000051885-i02.jpg
case_images: FIG2
case_images: EUS showed a hypoechoic, heterogenous mass invading past the muscularis propria with two affected regional lymph nodes (Figure 2).
case_images: Histopathology with hematoxylin and eosin staining shows large atypical lymphocytes with large nuclei within a dense fibrous tissue background (demonstrated by the red arrow). Micrograph magnified at 200x.
case_images: cureus-0016-00000051885-i03.jpg
case_images: PMC10849818_01_cureus-0016-00000051885-i03.jpg
case_images: FIG3
case_images: Microscopic examination of the aspirate showed numerous atypical lymphocytes, many of which were crushed in a background of dense fibrous tissue (Figure 3).