search
for
 About Bioline  All Journals  Testimonials  Membership  News


Indian Journal of Cancer
Medknow Publications on behalf of Indian Cancer Society
ISSN: 0019-509X EISSN: 1998-4774
Vol. 46, Num. 4, 2009, pp. 354-355

Indian Journal of Cancer, Vol. 46, No. 4, October-December, 2009, pp. 354-355

Letter To Editor

Subcutaneous metastasis in esophageal carcinoma detected by FDG-PET Imaging

Radiation Medicine Centre (BARC), Tata Memorial Hospital, Jerbai Wadia Road, Parel, Bombay - 400 012
Correspondence Address:Radiation Medicine Centre (BARC), Tata Memorial Hospital, Jerbai Wadia Road, Parel, Bombay - 400 012
drsanb@yahoo.com

Code Number: cn09088

PMID: 19749476
DOI: 10.4103/0019-509X.55565

Sir,

Subcutaneous metastasis from esophageal carcinoma is a rare entity. There have been very few reports of subcutaneous metastasis arising in the setting of primary esophageal cancer, in the peer review literature. [1],[2],[3] We herein report the case of a 72-year-old male patient, a diagnosed case of poorly differentiated squamous carcinoma of the middle one-third of the esophagus, who was referred for whole body FDG-PET (Fluorodeoxyglucose-positron emission tomography) study for disease evaluation, following a primary surgery done previously. A whole body PET scan was done after injection of 370 MBq (10 mCi) of 18F-Fluorodeoxyglucose (FDG), using a whole-body, full-ring dedicated PET scanner. Images were reconstructed using a standard iterative algorithm (OSEM). Images were reformatted into transaxial, coronal, and sagittal views. A 3-D image was also obtained by overlapping the various planes. The whole body FDG-PET [Figure - 1] demonstrated a focus of intense FDG uptake in the posterior chest wall. This was in addition to a large focus corresponding to the area of recurrent disease and nodal conglomerate in the esophagus and foci in the apex of the right lung, D12 vertebra, and the mediastinal lymph node. On clinical examination there was a 3 x 3 cm firm, mobile, nontender, subcutaneous swelling in the infrascapular region that was clinically discernible on the right posterior chest wall, which corresponded to the focus in the right posterior chest wall. On excision biopsy, the subcutaneous mass proved to be a metastasis from the esophageal carcinoma [Figure - 2].

References

1.Chau CH, Siu WT, Li MK. Nasal tip metastasis from oesophageal carcinoma. Can J Surg 2002;45:224-5.  Back to cited text no. 1    
2.Fereidooni F, Kovacs K, Azizi MR, Nikoo M. Skin metastasis from an occult oesophageal adenocarcinoma. Can J Gastroenterol 2005;19: 673-6.  Back to cited text no. 2    
3.Hedeshian MH, Wang X, Xu B, Fontaine JP, MD, Podbielski FJ. Subcutaneous Metastasis from Esophageal Cancer. Asian Cardiovasc Thorac Ann 2006;14:520-1.  Back to cited text no. 3    

Copyright 2009 - Indian Journal of Cancer


The following images related to this document are available:

Photo images

[cn09088f2.jpg] [cn09088f1.jpg]
Home Faq Resources Email Bioline
© Bioline International, 1989 - 2024, Site last up-dated on 01-Sep-2022.
Site created and maintained by the Reference Center on Environmental Information, CRIA, Brazil
System hosted by the Google Cloud Platform, GCP, Brazil