A Rare Linitis Plastica Manifestation of Esophageal Squamous Cell Carcinoma With Diffuse Gastric Metastasis Revealed by 18F-FDG PET/CT.
case_report · Level V
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- Record sourced from PubMed, PMID 41632575.
- Also identified by DOI 10.1097/RLU.0000000000006275.
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Abstract
Diffuse gastric metastasis of esophageal squamous cell carcinoma (SCC) manifested as linitis plastica is extremely rare. A 49-year-old man complained of postprandial vomiting and epigastric colicky pain, and biopsy indicated mucosal inflammation. 18F-FDG PET/CT revealed diffuse wall thickening of mid-to-lower esophagus and diffuse gastric wall thickening accompanied by mediastinal lymph node, perigastric, and peripancreatic lesions with intense FDG accumulation. Malignancy of mid-to-lower esophagus and linitis plastica accompanied by lymph node, perigastric, and peripancreatic metastases was suspected. Biopsies of multiple sites of esophagus and stomach confirmed SCC. 18F-FDG PET/CT is instrumental for evaluating rare metastasis of esophageal SCC and guiding biopsy.
Medical subject headings
- Fluorodeoxyglucose F18
- Esophageal Neoplasms
- Positron Emission Tomography Computed Tomography
- Carcinoma, Squamous Cell
- Linitis Plastica
- Stomach Neoplasms