title: Metastasis within the stomach from esophageal cancer after surgery: computed tomography findings in 6 patients.
abstract: OBJECTIVE
  We describe clinical and computed tomography (CT) features of intrathoracic stomach tube metastasis from esophageal cancer after surgical resection found on follow-up chest CT scans.
  
  
  METHODS
  Medical records and postoperative CT scans were reviewed in 6 patients who had a confirmed intrathoracic stomach tube metastasis after esophageal cancer operation.
  
  
  RESULTS
  All patients died 1 to 13 months (mean [SD], 5.8 [4.9] months) after the diagnosis of stomach metastasis. Computed tomography scans revealed eccentric stomach wall thickening with abnormal enhancement (n = 3) or an intramural mass with apparent intact mucosa (n = 3). Eccentric wall thickening with abnormal enhancement was located in the upper portion of the stomach tube (n = 3), and intramural mass in the lower (n = 3) with reference to the carina level. Mediastinal lymph node (9 and 10 mm, respectively) was noted in 2 patients.
  
  
  CONCLUSIONS
  The patients with stomach metastasis from esophageal cancer had poor prognosis. During postoperative evaluation of patients with surgically resected esophageal cancer, stomach metastasis from esophageal cancer seemed as an eccentric wall thickening with abnormal enhancement or an intramural tumor with apparent intact mucosa on CT.
authors.affiliation: Department of Radiology, Center for Lung Cancer, Research Institute and Hospital, National Cancer Center, Goyang-si, Gyeonggi-do, Korea. radhykim@ncc.re.kr
authors.forename: Hyae Young
authors.initials: HY
authors.lastname: Kim
authors.forename: Jong Seok
authors.initials: JS
authors.lastname: Lee
authors.forename: Eun Jin
authors.initials: EJ
authors.lastname: Chae
authors.forename: Geon Kook
authors.initials: GK
authors.lastname: Lee
authors.forename: Moon Soo
authors.initials: MS
authors.lastname: Kim
authors.forename: Jae-il
authors.initials: JI
authors.lastname: Zo
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002277:Carcinoma / Q000000981:diagnostic imaging* / Q000556:secondary*; D004938:Esophageal Neoplasms / Q000000981:diagnostic imaging* / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D013274:Stomach Neoplasms / Q000000981:diagnostic imaging* / Q000556:secondary*; D014057:Tomography, X-Ray Computed / Q000379:methods*; D016896:Treatment Outcome