FDG-PET/CT is a pivotal imaging modality to diagnose rare intravascular large B-cell lymphoma: case report and review of literature

被引:40
作者
Colavolpe, Cecile [1 ]
Ebbo, Mikael [2 ]
Trousse, Delphine [3 ]
Khibri, Hajar [2 ]
Franques, Jerome [4 ]
Chetaille, Bruno [5 ]
Coso, Diane [6 ]
Ouvrier, Matthieu John [7 ]
Gastaud, Lauris [8 ]
Guedj, Eric [1 ]
Schleinitz, Nicolas [2 ]
机构
[1] CHU Timone, Dept Nucl Med, F-13385 Marseille 5, France
[2] CHU Concept, Dept Internal Med, Marseille, France
[3] CHU Nord, Dept Thorac Surg, Marseille, France
[4] CHU Timone, Dept Neurol, F-13385 Marseille 5, France
[5] Inst J Paoli I Calmettes, Dept Biopathol, F-13009 Marseille, France
[6] Inst J Paoli I Calmettes, Dept Oncohematol, F-13009 Marseille, France
[7] Ctr Antoine Lacassagne, Dept Nucl Med, F-06054 Nice, France
[8] Ctr Antoine Lacassagne, Dept Med Oncol, F-06054 Nice, France
关键词
intravascular diffuse large B-cell lymphoma; FDG-PET; CT; lung biopsy; MANAGEMENT; FEVER;
D O I
10.1002/hon.2140
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Intravascular large B-cell lymphoma (IVLBCL) remains a diagnostic challenge, because of non-specific findings on clinical, laboratory, and imaging studies. We present a case in which 18F-fluorodeoxyglucose (FDG)-positron emission tomography (PET)/computed tomography was particularly useful to suspect the diagnosis, to detect unexpected locations, to guide contributive biopsy, and to assess the response to treatment. In case of initial negative results, FDG-PET should be repeated in the course of clinical evolution. In the presence of neurological or hormonal symptoms without brain magnetic resonance imaging abnormality, FDG-PET brain slices could depict additional pituitary and/or brain hypermetabolisms. We discuss the potential interests of FDG-PET in IVLBCL by a literature review. Copyright (c) 2014 John Wiley & Sons, Ltd.
引用
收藏
页码:99 / 109
页数:11
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