AI Article Synopsis
- - Initial PET-CT scan for gastroesophageal junction adenocarcinoma revealed no signs of distant spread, but a biopsy was performed during an esophagogastroduodenoscopy.
- - After a month of radiation treatment, a follow-up PET-CT showed a decrease in the tumor size but indicated new activity in the liver, raising concerns about possible metastasis.
- - Further imaging contradicted the metastasis concern, and a biopsy revealed that the increased activity was due to radiation-induced hepatitis rather than cancer spread.
Article Abstract
Gastroesophageal junction adenocarcinoma on esophagogastroduodenoscopy biopsy. Initial PET-CT showed no definite evidence of distant metastatic disease. One month after radiation treatment, repeat PET-CT showed interval decrease in size of gastroesophageal mass but new multifocal FDG avidity in the caudate and left hepatic lobes. Correlation with contrast-enhanced CT and US images was negative, making metastasis less likely. Ultrasound-guided biopsy confirmed radiation-induced hepatitis, which caused false positively increased FDG uptake from inflammatory changes.
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| http://dx.doi.org/10.1097/RLU.0000000000001404 | DOI Listing |
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Article Synopsis
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