Open AccessIsolated Colonic Metastasis From Esophageal Adenocarcinoma
Author(s) -
Ali Alshati,
Manraj Khosla,
Hardy Niu,
Toufic Kachaamy
Publication year - 2019
Publication title -
acg case reports journal
Language(s) - Uncategorized
Resource type - Journals
SCImago Journal Rank - 0.112
H-Index - 4
ISSN - 2326-3253
DOI - 10.14309/crj.0000000000000043
Subject(s) - medicine , malignancy , esophageal cancer , metastasis , adenocarcinoma , positron emission tomography , esophagus , colonoscopy , radiology , dysphagia , ascending colon , esophageal adenocarcinoma , biopsy , endoscopy , gastroenterology , pathology , cancer , colorectal cancer
Esophageal cancer is an aggressive and highly lethal malignancy that has a high death-to-incidence ratio approaching 0.90. We present a 60-year-old man with a history of Barrett's esophagus, presented with dysphagia. An upper endoscopy with biopsy confirmed invasive esophageal adenocarcinoma (EAC). Workup, including positron emission tomography scan, showed no evidence of metastasis. A preoperative colonoscopy showed a nodule in the ascending colon that was proven later to be a metastatic lesion from the esophageal primary tumor. Esophageal adenocarcinoma with an isolated colonic metastasis is an extremely rare presentation of esophageal metastasis. These metastatic lesions may not be detected by the positron emission tomography scan.