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Early gastric cancer and early colon cancer detected simultaneously by PET cancer screening incidentally
Authors:Hayato Kaida  Masatoshi Ishibashi  Maiko Nakamura  Kenkichi Baba  Nobuhiro Tahara  Jun Uozumi  Naofumi Tomita  Syunji Arikawa  Naofumi Hayabuchi
Institution:Division of Nuclear Medicine, PET Center, Kurume University School of Medicine, Japan.
Abstract:We report a case of early gastric cancer and early colon cancer detected by positron emission tomography (PET) cancer screening. A 64-year-old male patient with an unremarkable past history except for hypertension and cerebrovascular disease underwent 18F-FDG PET for cancer screening. Images revealed increased uptake in the gastric antrum and sigmoid colon. Both areas appeared suspicious for neoplasm on subsequent fluoroscopy and endoscopy, and biopsies were positive for neoplasia at both sites. The gastric lesion was treated by distal gastrectomy and D2 lymphadenectomy and the colon cancer by endoscopic mucosal resection (EMR). Both surgical specimens were positive for cancer.
Keywords:F-18 fluorodeoxyglucose  positron emission tomography  screening  early diagnosis  gastrointestinal neoplasms
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