Squamous cell carcinoma arising from a Zenker's diverticulum: contribution of FDG-PET/CT to the diagnosis

dc.authorid0000-0002-9060-2691en_US
dc.authorid0000-0002-7520-760Xen_US
dc.authorid0000-0002-8958-2822
dc.contributor.authorAcar, Türker
dc.contributor.authorSavas, Recep
dc.contributor.authorKocaçelebi, Kenan
dc.contributor.authorErsöz, G.
dc.date.accessioned2021-06-23T19:42:54Z
dc.date.available2021-06-23T19:42:54Z
dc.date.issued2016
dc.departmentBAİBÜ, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümüen_US
dc.description.abstractA 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 dysphagiaen_US
dc.identifier.doi10.1111/dote.12406
dc.identifier.endpage1171en_US
dc.identifier.issn1120-8694
dc.identifier.issn1442-2050
dc.identifier.issue8en_US
dc.identifier.pmid26415863en_US
dc.identifier.scopus2-s2.0-84945934086en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage1170en_US
dc.identifier.urihttps://doi.org/10.1111/dote.12406
dc.identifier.urihttps://hdl.handle.net/20.500.12491/8639
dc.identifier.volume29en_US
dc.identifier.wosWOS:000389328700041en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorAcar, Türker
dc.language.isoenen_US
dc.publisherWiley-Blackwellen_US
dc.relation.ispartofDiseases Of The Esophagusen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectSquamous Cell Carcinomaen_US
dc.subjectZenker’s Diverticulum
dc.titleSquamous cell carcinoma arising from a Zenker's diverticulum: contribution of FDG-PET/CT to the diagnosisen_US
dc.typeArticleen_US

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