case_images: PMC5554992_01
case_images: Axial contrast enhanced CT at the level of the mid-oesophagus (a) demonstrates a circumferential soft tissue oesophageal mass with increased metabolic activity (SUVmax 15.0) on the PET component of the study (c). Axial contrast enhanced CT at the level of the gastroesophageal junction (b) demonstrates soft tissue thickening surrounding the gastric stent in situ. The PET component of the study (c) at this level shows increased FDG avidity (SUVmax 14.2) consistent with a second tumour. Incidental note of a FDG avid left thyroid nodule.
case_images: CRIGM2017-2713589.002.jpg
case_images: PMC5554992_01_CRIGM2017-2713589.002.jpg
case_images: fig2
case_images: Large metabolically active lymph nodes at the level of the celiac axis measuring up to 15 mm were evident with a maximum SUV of 4.5 (Figure 2).
case_images: Invasive high grade squamous cell carcinoma.
case_images: CRIGM2017-2713589.003.jpg
case_images: PMC5554992_01_CRIGM2017-2713589.003.jpg
case_images: fig3
case_images: Specimen A from the mid-oesophagus showed high grade carcinoma with some features suggesting neuroendocrine differentiation (Figure 3).
case_images: SCC positive for P63, CK 5/6, and CAM5.2.
case_images: CRIGM2017-2713589.004.jpg
case_images: PMC5554992_01_CRIGM2017-2713589.004.jpg
case_images: fig4
case_images: Immunohistochemistry showed positive staining for CK 5/6, P63, and CAM 5.2 confirming a diagnosis of SCC (Figure 4).
case_images: Invasive moderately differentiated mucinous adenocarcinoma.
case_images: CRIGM2017-2713589.005.jpg
case_images: PMC5554992_01_CRIGM2017-2713589.005.jpg
case_images: fig5
case_images: Lower oesophageal mass prior to stenting.
case_images: CRIGM2017-2713589.006.jpg
case_images: PMC5554992_01_CRIGM2017-2713589.006.jpg
case_images: fig6
case_images: Progressive dysphagia warranted a repeat OGD with the insertion of an oesophageal stent.  Figure 6 demonstrates the lower oesophageal mass prior to stenting.
case_images: Lower oesophagus poststenting.
case_images: CRIGM2017-2713589.007.jpg
case_images: PMC5554992_01_CRIGM2017-2713589.007.jpg
case_images: fig7
case_images: A 12 cm partially covered Wallflex stent was placed across the lower malignancy (Figure 7).