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Detection of Distant Metastases in Esophageal Cancer with 18F-FDG PET

Pierre A.M. Heeren, MD1, Pieter L. Jager, MD, PhD2, Fons Bongaerts, MD3, Hendrik van Dullemen, MD, PhD4, Wim Sluiter, MD, PhD5 and John Th.M. Plukker, MD, PhD1

1 Department of Surgical Oncology, University Hospital of Groningen, Groningen, The Netherlands
2 Department of Nuclear Medicine/PET Center, University Hospital of Groningen, Groningen, The Netherlands
3 Department of Radiology, University Hospital of Groningen, Groningen, The Netherlands
4 Department of Gastroenterology, University Hospital of Groningen, Groningen, The Netherlands
5 Department of Medical Statistics, University Hospital of Groningen, Groningen, The Netherlands



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  		FIGURE 1. Upstaging with 18F-FDG PET of histologically proven distant lymph node metastasis at celiac region in patient with GEJ tumor. Conventional staging was negative for distant nodal metastases. Thick arrow indicates primary tumor; thin arrow indicates lesion at celiac trunk region.

 


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  		FIGURE 2. Detection of supraclavicular lymph node metastases with 18F-FDG PET leading to correct upstaging. Thick arrow indicates primary tumor; thin arrow indicates cervical node metastasis.

 


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  		FIGURE 3. Diagnostic tree proposal for staging of patients with cancer of esophagus or GEJ.

 




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