Question:

Which of the following statement is true?
1. Esophageal cancer is uncommon.
2. Symptoms associated with malignancy do not mimic those of the diverticulum or the underlying esophageal motor disorder.
3. Progressive dysphagia in patients with known esophageal diverticulum is concerning for associated malignancy.
4. Unintentional weight gain is seen in patients with carcinoma associated with esophageal diverticulum.
5. Melena is a common finding in patients with carcinoma arising in esophageal diverticulum.





Answer:

The correct answer for the question "Which of the following statement is true?" is:

3. Progressive dysphagia in patients with known esophageal diverticulum is concerning for associated malignancy.



Explanation
a) [Esophageal cancer is not uncommon; estimates for esophageal cancer in the United States are about 17,990 new cases diagnosed for 2013.]
b) [Symptoms associated with malignancy mimic those of the diverticulum alone or the underlying esophageal motor disorder.]
c) [Progressive dysphagia is a key symptom suggesting further evaluation to rule out associated malignancy.]
d) [Unintentional weight loss is a key symptom suggesting further evaluation to rule out associated malignancy.]
e) [Uncommon symptom such as melena is concerning for malignancy.]



From the manuscript:
FDG Positron Emission Tomography and Computed Tomography Demonstration of Carcinoma Arising in an Epiphrenic Diverticulum
Radiology Case. 2014 Nov; 8(11):42-46


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From the manuscript

FDG Positron Emission Tomography and Computed Tomography Demonstration of Carcinoma Arising in an Epiphrenic Diverticulum

Free full text article: FDG Positron Emission Tomography  and Computed Tomography Demonstration of  Carcinoma Arising in an Epiphrenic Diverticulum

Abstract
Esophageal carcinoma arising within an epiphrenic diverticulum is rare. We describe a case of a carcinoma in a long-standing epiphrenic diverticulum in a 62-year-old patient. Fluorine-18-2-Fluoro-2-Deoxy-D-Glucose Positron Emission Tomography and Computed Tomography, and endoscopic ultrasound revealed a hypermetabolic mass within the diverticulum. A preoperative diagnosis was made via endoscopic biopsy. The patient underwent Ivor-Lewis esophagectomy. He remains well and free of recurrence 18 months after surgery.






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1. Fluorine-18-2-Fluoro-2-Deoxy-D-Glucose Positron Emission Tomography and Computed Tomography

2. FDG

3. PET/CT

4. Carcinoma

5. Hypermetabolic

6. Epiphrenic

7. Diverticulum


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