esofago carcinoma

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Esofago di Barret

• rischio carcinoma x 40

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Esofago di Barret

• Displasia epiteliale colonnare

• metaplasia colonnare

• displasia di basso grado

• displasia di alto grado (precancerosi)

• carcinoma invasivo

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6 sett. Dopo RT

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whole body PET imaging

10 millicuries of F18-labeled fludeoxyglucose

focal intense uptake of the tracer in the region of the gastroesophageal junction measuring approximately 5.9 cm in vertical extent and 4.9 cm transversely

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whole body PET imagingfocal intense uptake of the tracer in the region of the gastroesophageal junction measuring approximately 5.9 cm in vertical extent and 4.9 cm transversely. Focal intense uptake is also identified in the left adrenal gland, corresponding to the adrenal mass seen on the prior CT study. There is also a small focus of increased uptake identified inferiorly to the main mass in the gastroesophageal region, which is in the area of a lymph node noted on the CT study, most consistent with metastatic adenopathy.

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Terapia fotodinamica PTD (Photofrin) : approvazione 1998 FDA per trattamento pz alto rischio (anziani + Barret)

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K esofago prima/dopo RT+CT

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Palliazione con stent autoespandibile

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Esophageal cancer treated with chemoradiation. Marked response is shown on this barium study