Presentation
The patient is a known case of esophageal cancer treated by esophagectomy-gastric pull-up surgery one year ago. He now presents with weight loss, dysphagia, and left supraclavicular mass.
Patient Data
Scot image of CT scan depicts evidence of gastric pull-up surgery as a vertical linear opacity in the right para-mediastinal region, representing the right wall of the gastric tube. Mild focal mediastinal widening above the aortic knob is seen, which should be evaluated with a CT scan.
Evidence of esophagectomy gastric pull-up surgery is visible. A lobulated soft tissue mass is seen posterior to the trachea on the right side of a gastric tube, in favor of mediastinal tumoral recurrence. The recurrent mass adheres to and deviates the posterior tracheal wall anteriorly. The left subclavian and common carotid arteries are in proximity to the anterior border of the mass. The gastric tube deviates to the right and becomes narrow by the mass. The asymmetric prominent soft tissue in the left supraclavicular area represents tumoral lymphadenopathies.
Case Discussion
On follow-up, a CT scan of patients with treated esophageal cancer scrutinized review for recurrence should be made focusing on anastomotic sites.