DESCRIPTION

A 74-year-old man with a medical history of hyper-tension, hypercholesterolaemia was diagnosed with distal oesophageal adenocarcinoma in June 2009. Prior to that the patient unintentionally lost 15 kg in 5 months and had difficulty swallowing both solids and liquids. An Oesophagectomy was per-formed, and he was subsequently treated with adju-vant chemotherapy including carboplatin, paclitaxel as well as radiation therapy. In May 2012, positron emission tomography was performed which showed increased uptake in the left supraclavicular node and paraoesophageal nodes (T3N1M0). Biopsy was performed, which showed tumour recurrence, which was positive for human epidermal growth factor receptor 2 (HER-2