Incidental diagnosis of asymptomatic adenocarcinoma of the esophagus on PET-CT

Case contributed by Jayanth Keshavamurthy

Presentation

Abnormal lung findings. PET-CT was recommended for workup.

Patient Data

Age: 65 years
Gender: Male

PET-CT showing a lung nodule which is mildly metabolically and a distal esophageal lesion which is focally metabolically active.

Case Discussion

CT-guided lung biopsy was negative for cancer.

A T1 adenocarcinoma of the esophagus was diagnosed by upper endoscopy. The patient consequently underwent chemoradiation therapy with a good metabolic response. He is now scheduled for Ivor Lewis esophagectomy.

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