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Esophageal Carcinoma Metastatic to the Brain:Clin Value & Cost-Effect of Enhanced Head CT Before Esophagectomy AJNR 16:1915-1921, Gabrielsen,T.O.,et al, 1995 See this aricle in Pubmed Article Abstract Brain metastases from carcinomas of the esophagus are relatively uncommon (3.6%in the esophagectomy cohort).They tend to occur in patients with large primary neoplasm,probably especially adenocarcinomas involving the esophagogastric junction,and with findings of local invasion and lymph node metastases by CT and/or microscopically.It may be reasonable to obtain head CT as a last preoperative staging procedure in such patients. Routine preoperative head CT for staging is not cost effective.

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