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A Rare Linitis Plastica Manifestation of Esophageal Squamous Cell Carcinoma With Diffuse Gastric Metastasis Revealed
Yan Cui1, Yingqi Wang, Bulin Du
1Department of Nuclear Medicine, The First Hospital of China Medical University, Shenyang, Liaoning, China.
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.
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