An Unusual Course of Metastatic Gastroesophageal Cancer

Figure 1

Selected PET/CT scans. (a) Initial PET/CT at the time of diagnosis showing uptake in GEJ, left para-aortic lymph nodes (SUV 11.8), and right axillary lymph nodes (SUV 10.8). (b) Surveillance PET/CT showing recurrence in the left supraclavicular fossa (SUV 23.3) and gastrohepatic nodal region (SUV 2.6). (c) PET/CT prior to second course of radiotherapy showing no residual metabolic uptake outside of the primary. (d) PET/CT post-reirradiation to the GEJ primary. (e) Shallow ulceration of GEJ with pathology demonstrating persistent adenocarcinoma. (f) Red circles highlight areas of increased uptake. Corresponding dates are shown.