ABSTRACT
Background. The Hodgkin Lynphonas and not Hodgkin ones sometimes involucrate the mediastinum with some frecuency associate with sistemic disease and even so its rarely that this disorders may appear with symptoms referred to in the anatomic site. The disphagia due to the esophagus in some cases the lymphomas not Hodkin is considered the rare appears as on odd case of the illness. Method: in case of malignant lyphoma is described with presence of the esopahagus in a man 61 years old with progresive disphagia compromisig the esophagus, with 9 months of evolution thoegth the structure of esophagus. Endoscopaly and radiologicall qualyfied as peptic; left supraclaviculary limpth node, esophagus-bronchial fistula and asophagus-mediastinic. He was checked by swallowed barium and endoscopy, as well as, biopsy of ganglios disease, TAC of the torax and accepting Dawson opinion to define primary or secondary lymphoma. Results: the TAC of the torax showed a tumoral process in the 3rd. or inferior section of the esophagus and esophagus-bronchial fistula, as well as, mediastinic-esophagus. The hitopatology of biopsy of supraclavicular ganglio and lasser curvature ganglio of stomach showed: lymphama not Hodgkin of higt grade of malignity limphoblastic type but not convoluting (W.F.). Conclusions the first case of lymphoma not Hodgkin with on affection of the esophagus, primary appearance to dyshagia appears in SOLCA s Hospital in Quito.