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Local & distant spread
60 year old male patient. Underwent preoperative ECX x4 followed by surgery for
pT3N2M0 R0 TRG4 GOJ tumour. Post op he had 54Gy in 30♯ completed Feb 2015.
Presented with rectal bleeding
10.02.2014
MRI Sag T2W
13.04.2016
13.04.2016
24.05.2016
PET MIP
Baseline
MRI Ax T2W
SMA Nodal relapse
Biopsy showed adenocarcinoma with immunohistochemistry profile
consistent with an oesophageal primary similar to original primary