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INTERESTING IMAGE
Year : 2018  |  Volume : 33  |  Issue : 1  |  Page : 71-72

Testicular metastasis from recurrent gastroesophageal junction adenocarcinoma: Fluorodeoxyglucose positron emission tomography/computed tomography findings


Department of Radiology, Mayo Clinic College of Medicine, Rochester, MN, USA

Correspondence Address:
Dr. Ishan Garg
200 First Street SW, Rochester, MN 55905
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijnm.IJNM_76_17

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Testicular metastasis from gastroesophageal junction (GEJ) adenocarcinoma is a very rare condition. A 57-year-old male with a history of neoadjuvant chemotherapy and surgery for HER-2-positive GEJ adenocarcinoma underwent a follow-up 18F-fluorodeoxyglucose positron emission tomography/computed tomography (PET/CT). It revealed multiple metastases including bilateral testicular and L4 laminar metastasis. The patient received multiple chemotherapies, but follow-up PET/CT showed interval progression of disease. Here, we present a case highlighting one of the unusual sites of metastasis from GEJ cancer, role of PET/CT as a surveillance tool in such patients, and the importance of radiologists to be aware of such uncommon sites of metastasis to avoid interpretative errors.


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