Hepatic radiation injury mimicking metastasis in distal esophageal cancer*. Issue 4 (4th July 2017)

• Record Type: Journal Article
• Authors: Demey, Karel; Van Veer, Hans; Nafteux, Philippe; Deroose, Christophe M.; Haustermans, Karin; Coolen, Johan; Vandecaveye, Vincent; Coosemans, Willy; Van Cutsem, Eric
• Is Part Of: Acta chirurgica belgica. Volume 117:Issue 4(2017)
• Page Start: 250
• Page End: 255
• Publication Date: 2017-07-04
• Subjects: Esophageal carcinoma -- radiation-induced liver disease -- 18F-FDG-PET/CT; Surgery -- Periodicals; General Surgery; Chirurgie -- Périodiques; Surgery; Chirurgie (geneeskunde); Periodicals; Periodicals; 617.005
• DOI: 10.1080/00015458.2016.1248120
• Languages: English
• ISSNs: 0001-5458

Abstract

Abstract: Introduction : A new hypermetabolic lesion on 18 FDG-PET/CT after neo-adjuvant chemoradiotherapy for distal esophageal cancer can be a hepatic metastasis and should be examined carefully before esophagectomy. Case-report : We present a case of acute and nodular radiation-induced injury of the left liver after neo-adjuvant chemoradiotherapy for distal esophageal cancer, which resembles a hepatic metastasis on 18 FDG-PET/CT. Acute and nodular radiation hepatitis (RH) can be a potential cause of false-positive findings of malignancy and therefore exclude patients who could benefit from esophagectomy. Conclusion : 18 FDG-PET/CT images should therefore carefully be interpreted and compared with the radiation beams, dose distribution and eventually clarified by DW-MR imaging.