• M L Domínguez, J I Rayo, J Serrano, J R Infante, L García, and M Moreno.
• Servicio de Medicina Nuclear, Hospital Universitario «Infanta Cristina», Badajoz, España. Electronic address: mluzovi@yahoo.es.
• Rev Esp Med Nucl Imagen Mol. 2016 Jan 1; 35 (1): 38-41.

AbstractDistant soft-tissue metastases (subcutaneous tissues and skeletal muscle) are extremely rare, particularly in oesophageal carcinoma. The case is described of a patient who was treated for oesophageal adenocarcinoma 2.5 years previously. A PET/CT was performed showing metastatic spread due to a solitary focus of increased tracer uptake corresponding to one subcutaneous node in the upper abdomen. An excisional biopsy showed a metastasis from the carcinoma. Restaging PET/CT (18)F-FDG study was performed 2 year later, demonstrating foci of increased uptake within several muscles as isolated distant haematogenous spread of metastases, histopathologically confirmed. As most of soft-tissue metastases are asymptomatic, the physicians should recommend a histopathological study of focal FDG uptake at subcutaneous tissues and/or skeletal muscles, because they may be the first sign of disease spread, so therapeutic management of these patients could be changed. Copyright © 2015 Elsevier España, S.L.U. y SEMNIM. All rights reserved.

40 keywords...

hide…