The utility of positron emission tomography for the diagnosis and staging of recurrent esophageal cancer P. Flamen, MD, A. Lerut, MD, PhD, E. Van Cutsem,

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Presentation transcript:

The utility of positron emission tomography for the diagnosis and staging of recurrent esophageal cancer P. Flamen, MD, A. Lerut, MD, PhD, E. Van Cutsem, MD, PhD, J.P. Cambier, MD, A. Maes, MD, PhD, W. De Wever, MD, M. Peeters, MD, PhD, P. De Leyn, MD, PhD, D. Van Raemdonck, MD, PhD, L. Mortelmans, MD, PhD The Journal of Thoracic and Cardiovascular Surgery Volume 120, Issue 6, Pages 1085-1092 (December 2000) DOI: 10.1067/mtc.2000.110464 Copyright © 2000 American Association for Thoracic Surgery Terms and Conditions

Fig. 1 Example of a false-positive FDG-PET finding at the anastomosis. This patient had dysphagia 1 year after a subtotal esophagogastrectomy and cervical esophagogastrostomy. Endoscopy indicated a benign intrinsic stenosis of the esophagogastric anastomosis and an endoscopic dilatation was succesfully performed. Two weeks later the PET scan showed an intense focal hot spot in the upper mediastinum. Seven months' clinical and radiologic follow-up did not show any signs of recurrent disease. The Journal of Thoracic and Cardiovascular Surgery 2000 120, 1085-1092DOI: (10.1067/mtc.2000.110464) Copyright © 2000 American Association for Thoracic Surgery Terms and Conditions

Fig. 2 Example of a whole-body FDG-PET in a patient having hoarseness 6 months after a subtotal esophagogastrectomy and cervical esophagogastrostomy for a spinocellular epithelioma staged pT3 N1 Mb. CDW, including endoscopy and CT, did not demonstrate recurrent tumor. FDG-PET showed multiple sites of tumor recurrences in the upper mediastinum (A), upper abdominal retroperitoneum (B), and in the perigastric area (C). All these lesions were confirmed by radiologic follow-up 3 months later. The Journal of Thoracic and Cardiovascular Surgery 2000 120, 1085-1092DOI: (10.1067/mtc.2000.110464) Copyright © 2000 American Association for Thoracic Surgery Terms and Conditions