Dissemin is shutting down on January 1st, 2025

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Lippincott, Williams & Wilkins, Clinical Nuclear Medicine, 5(35), p. 355-356, 2010

DOI: 10.1097/rlu.0b013e3181d626d4

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Paramediastinal Inflammatory Changes After Chemoradiation Detected on FDG PET-CT Imaging

Journal article published in 2010 by Kristof Baete ORCID, Christophe M. Deroose ORCID, Felix M. Mottaghy, Olivier; U0046725; JFA; CORA; Baete Kristof; U0034780; Deroose Christophe; U0040937; Mottaghy Felix; U0054769; JLA Gheysens
This paper was not found in any repository, but could be made available legally by the author.
This paper was not found in any repository, but could be made available legally by the author.

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Abstract

A 56-year-old man with cT3N1M0 esophageal spinocellular epithelioma underwent FDG-PET/CT 4 and 8 months after chemoradiation because of progressive dysphagia. The initial FDG-PET/CT solely revealed the hypermetabolic tumor and a small adjacent lymph node at the upper thoracic esophagus. The second FDG-PET/CT showed slightly increased paramediastinal FDG-uptake due to inflammation. The third FDG-PET/CT showed a hypermetabolic focus at the thoracic esophagus (local recurrence), the left vocal cord, and in the paramediastinal area. The latter was consistent with chemoradiation-induced changes. This case illustrates that inflammatory changes after chemoradiation may take a long time to develop or subside and have to be appropriately recognized. ; status: published