Esophageal Cancer - 69 year old male

History
69 year old male who has had difficulty swallowing that began approximately 3 or 4 months ago and has become progressively worse. It is only for solids and not liquids. The patient reports occasional heartburn for which he has been treated with Omeprazole 20 milligrams PO daily. He had an upper endoscopy over 30 years ago at which time he was told he had a hiatal hernia. The patient does have a history of food regurgitation secondary to food impaction. Family Hx of Gastric CA w/ his grandfather.

1/28/05 CT Findings
There is a dilated esophagus that is partially fluid filled. There is thickening of the distal esophagus just superior to the gastroesophageal junction.

2/9/05 Reason for PET/CT
This is a 69 year old male newly diagnosed with esophageal cancer via esophageal biopsy, referred for initial staging.

Dosage
11.6 mCi F18-FDG was administered.

PET/CT Findings
Chest: Focal intense increased FDG uptake in the distal esophagus (maximum SUV 9.0) corresponds with the esophageal thickening on CT scan. There is no abnormal focal increased activity in the bilateral lung parenchyma, hilum, mediastinal or axillary nodal regions.

Treatment
Chemotherapy

Courtesy of
University of Tennessee Medical Center
David Townsend