霍奇金淋巴瘤（Hodgkin＇slymphomaHL）首发在食管尚未见报道，现报道１例以食管狭窄为首发症状的HL。患者，男性，２３岁。主因进行性吞咽困难半年，曾以激光治疗无效，经上消化道造影诊断为食管上段良性肿物（起自粘膜下层）。CT检查为食管壁增厚，管腔明显扩张，至胸２处食 Hodgkin’s lymphoma (HL) first reported in the esophagus has not been reported, is reported in 1 cases of esophageal stenosis as the first symptom of HL. Patient, male, 23 years old. Main due to progressive dysphagia for six months, had laser treatment ineffective, the upper gastrointestinal tract imaging diagnosis of benign upper esophagus (from the submucosa). CT examination of the esophageal wall thickening, lumen was significantly expanded to chest 2 food