Akademik Veri Yönetim Sistemi
Pamukkale Tıp Dergisi, cilt.13, ss.219-223, 2020 (Hakemli Dergi)
Esophageal cancer is one of the most reported cancers worldwide. The most common organs of distant metastasis are the liver, lungs and bones, respectively. Unexpected metastases were only investigated in case series. In this study, we aimed to present radiological findings of calvaryal metastasis of squamous cell esophageal cancer with abscess formation. A 55-year-old woman was admitted to Gastroenterology outpatient clinic with the complaint of dysphagia. In the computed tomography (CT), increased asymmetric wall thickness and proximal dilatation were detected in the mid-distal section of the esophagus. Contrast-enhanced cerebral magnetic resonans imaging (MRI) showed a cystic appearance in the right parietal bone.Cystic appearance was aspirated by ultrasonography (US) in the interventional radiology unit. Aspirated material was purulent. Cytopathological evaluation was reported as squamous cell carcinoma metastasis. In our case, unlike reported in the literature, the metastatic mass showed collection with dense content at the center on MRI and US examination. We observed that most of the metastatic mass was purulent in ultrasonography-guided aspiration. Calvarial metastatic lesions usually cause painless local swelling. Therefore, patients admitted with a calvarial mass, metastatic masses associated with the patient's clinical findings should be considered in the differential diagnosis.