PMC6701345_01
(a) Top of mass visualized on initial esophagogastroduodenoscopy. (b) Ulcerated portion of mass visualized on initial esophagogastroduodenoscopy.
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April 2017 for a 50-pound weight loss over the past year, fatigue, and difficulty swallowing solid foods. After initial imaging, an endoscopic ultrasound (EUS) showed a Siewert class III gastroesophageal junction mass extending from the top of the gastric folds to the body of the stomach (Figure 1), multiple bulky nearby lymph nodes with the largest lymph node being 5 cm, and a T3 N3 staging by the EUS criteria.
(a) Baseline axial fused PET/CT from May 2017 showing increased FDG uptake. (b) Axial fused PET/CT from March 2019 showing resolution of increased FDG uptake.
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His CT scan in November 2018 shows resolution of all visible disease, and a PET/CT scan in March 2019 was negative for the uptake of FDG isotope at all sites of disease (Figure 2).