Enduring complete metabolic response in metastatic adenocarcinoma of the gastro-oesophageal junction

Minmin Li; David Chan; Bob T Li; Nick Pavlakis; Andrew Kneebone; Dale Bailey; Stephen Clarke

doi:10.1093/omcr/omu041

Enduring complete metabolic response in metastatic adenocarcinoma of the gastro-oesophageal junction

Oxf Med Case Reports. 2014 Sep 3;2014(6):105-6. doi: 10.1093/omcr/omu041. eCollection 2014 Sep.

Authors

Minmin Li¹, David Chan², Bob T Li², Nick Pavlakis², Andrew Kneebone³, Dale Bailey⁴, Stephen Clarke²

Affiliations

¹ Department of Medical Oncology , Royal North Shore Hospital , Sydney, NSW , Australia ; Faculty of Medicine , University of New South Wales , Sydney, NSW , Australia.
² Department of Medical Oncology , Royal North Shore Hospital , Sydney, NSW , Australia ; Sydney Medical School , University of Sydney , Sydney, NSW , Australia.
³ Sydney Medical School , University of Sydney , Sydney, NSW , Australia ; Department of Radiation Oncology , Royal North Shore Hospital , Sydney, NSW , Australia.
⁴ Sydney Medical School , University of Sydney , Sydney, NSW , Australia ; Department of Nuclear Medicine , Royal North Shore Hospital , Sydney, NSW , Australia.

Abstract

We report on a 46-year-old gentleman who presented with a poorly differentiated invasive adenocarcinoma of the gastro-oesophageal junction, local lymph node involvement and bilobar liver metastases. Nearly 2 years after diagnosis, he has sustained complete metabolic response and remains in excellent clinical condition after treatment with chemoradiotherapy. Fluorodeoxyglucose positron emission tomography images at diagnosis and after treatment have been provided.