A career in surgery has always been a highly desired pathway for trainee doctors. However, cutbacks in training posts and limitations imposed on junior doctors as a result of the European Working Time Regulations mean that a surgical career is quickly becoming an even more intensely competitive (and somewhat daunting) pathway to embark upon. Are these factors discouraging medical graduates before they even embark on their foundation training?

In this study, incidental findings were discovered in 26.7% of patients with known oesophagogastric cancer. A second primary cancer or premalignant lesion was found in 8.4% of patients with incidental findings. Patients with these findings should be investigated to rule out further malignancy. There were a high proportion of false positive results in our study. It is recommended that each patient is considered on an individual basis and assessed with simultaneous PET and computed tomography.

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