title: Intense esophageal FDG activity caused by Candida infection obscured the concurrent primary esophageal cancer on PET imaging.
abstract: Esophageal cancer frequently causes a focal intense FDG uptake on positron emission tomography (PET) imaging while esophagitis often results in a mild to moderate degree of FDG activity in a diffuse pattern. However, detection of an esophageal cancer can become difficult in the presence of a diffuse esophageal activity because of esophagitis. We present such case in which esophageal cancer superimposed by Candidal esophagitis is difficult to recognize on FDG PET images.
authors.affiliation: Department of Radiology, Hospital of the University of Pennsylvania, PA 19104, USA.
authors.forename: Sankaran
authors.initials: S
authors.lastname: Shrikanthan
authors.forename: Aysel
authors.initials: A
authors.lastname: Aydin
authors.forename: Thiruvenkatasamy
authors.initials: T
authors.lastname: Dhurairaj
authors.forename: Abass
authors.initials: A
authors.lastname: Alavi
authors.forename: Hongming
authors.initials: H
authors.lastname: Zhuang
mesh_terms: D002177:Candidiasis / Q000150:complications* / Q000000981:diagnostic imaging* / Q000378:metabolism; D003937:Diagnosis, Differential; D004938:Esophageal Neoplasms / Q000150:complications* / Q000000981:diagnostic imaging* / Q000378:metabolism; D004941:Esophagitis / Q000150:complications* / Q000000981:diagnostic imaging* / Q000378:metabolism; D005188:False Negative Reactions; D019788:Fluorodeoxyglucose F18 / Q000493:pharmacokinetics; D006801:Humans; D008297:Male; D008875:Middle Aged; D049268:Positron-Emission Tomography / Q000379:methods; D019275:Radiopharmaceuticals / Q000493:pharmacokinetics
chemical_list: D019275:Radiopharmaceuticals; D019788:Fluorodeoxyglucose F18