Squamous cell carcinoma arising from a Zenker's diverticulum: contribution of FDG-PET/CT to the diagnosis
Yükleniyor...
Dosyalar
Tarih
2016
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Wiley-Blackwell
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
A 69-year-old man was admitted to the gastroenterology department with bloody vomiting and syncope.He had a history of hepatitis B (with the following serologic markers: HBsAg, negative; HBeAg, negative; anti-HBc IgM, negative; anti-HBc, positive; antiHBs, 173.21 mIU/mL; anti-HCV, negative), alcohol consumption, and chronic liver disease. He had severe anemia with hemoglobin of 8 g/dL (reference value 11.7–15.5 g/dL) at presentation. The Child–Pugh, Model for End-Stage Liver Disease (MELD), and Rockall scores were 6, 11, and 5, respectively, at the time of bleeding. Upper gastrointestinal system endoscopy performed after stabilizing his vital signs revealed esophageal varices with no active bleeding, which were treated with band ligation and a Zenker’s diverticulum (ZD). Reevaluation endoscopy showed regression of the esophageal varices and a barium swallow study following the reevaluation endoscopy showed the extent of the ZD (Fig. 1). At follow-up, right posterior cervical lymphadenopathy (LAP) was detected and follow-up endoscopy revealed a 0.5 cm polypoid mass on the wall of the ZD (Fig. 2). The pathology of the esophageal mass and LAP were consistent with squamous cell carcinoma (SCC) and SCC metastasis, respectively. Fluorodeoxyglucose positron emission tomography/computed tomography
(FDG-PET/CT) for staging confirmed an FDG-avid
mass lesion arising from the ZD (Fig. 3). The patient
was initially managed with radiotherapy, and the mass
lesion in the ZD regressed completely (Fig. 4). After
radiotherapy the patient had complaint of dysphagia
Açıklama
Anahtar Kelimeler
Squamous Cell Carcinoma, Zenker’s Diverticulum
Kaynak
Diseases Of The Esophagus
WoS Q Değeri
Q3
Scopus Q Değeri
Q1
Cilt
29
Sayı
8
