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LETTER TO EDITOR
Year : 2009  |  Volume : 46  |  Issue : 4  |  Page : 354-355
 

Subcutaneous metastasis in esophageal carcinoma detected by FDG-PET Imaging


1 Radiation Medicine Centre (BARC), Tata Memorial Hospital, Jerbai Wadia Road, Parel, Bombay - 400 012, India
2 Department of Pathology, Tata Memorial Hospital, Jerbai Wadia Road, Parel, Bombay - 400 012, India

Date of Web Publication9-Sep-2009

Correspondence Address:
S Basu
Radiation Medicine Centre (BARC), Tata Memorial Hospital, Jerbai Wadia Road, Parel, Bombay - 400 012
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0019-509X.55565

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How to cite this article:
Kapoor J, Basu S, Menon S. Subcutaneous metastasis in esophageal carcinoma detected by FDG-PET Imaging. Indian J Cancer 2009;46:354-5

How to cite this URL:
Kapoor J, Basu S, Menon S. Subcutaneous metastasis in esophageal carcinoma detected by FDG-PET Imaging. Indian J Cancer [serial online] 2009 [cited 2019 Dec 7];46:354-5. Available from: http://www.indianjcancer.com/text.asp?2009/46/4/354/55565


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 Top

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    


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