F-18 FDG PET/CT Findings of a Case of Sacral Nerve Root Neurolymphomatosis That Occurred During Chemotherapy

被引:13
作者
Suga, Kazuyoshi [1 ]
Yasuhiko, Kawakami [1 ]
Matsunaga, Naofumi [2 ]
Yujiri, Toshiaki [3 ]
Nakazora, Tatsuki [3 ]
Ariyoshi, Kouichi [3 ]
机构
[1] St Hill Hosp, Dept Radiol, Yamaguchi 7550151, Japan
[2] Yamaguchi Univ, Sch Med, Dept Radiol, Yamaguchi, Japan
[3] Yamaguchi Univ, Sch Med, Div Endocrinol Metab Hematol Sci & Therapeut, Yamaguchi, Japan
关键词
F-18; FDG; PET/CT; neurolymphomatosis; DIAGNOSIS;
D O I
10.1097/RLU.0b013e3181f4a03f
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
Neurolymphomatosis (NL) is a rare, unique subtype of lymphomatous infiltration of peripheral nerves. Clinical/radiologic diagnosis of NL is challenging. We report F-18 FDG PET/CT findings of a case of breast diffuse large B-cell lymphoma, in which NL developed regardless of regression of systemic lesions during induction chemotherapy. FDG PET/CT showed characteristic findings of well-demarcated, linear abnormal FDG uptake along a sacral vertebral foramen, leading to diagnosis of NL, with the finding of thickened nerve roots on magnetic resonance imaging. Altered chemotherapeutic regimen resulted in disappearance of these abnormal FDG uptake, with recovery of neurologic symptoms. Peripheral nerve NL may occur during chemotherapy, and FDG PET/CT can be a useful imaging modality in diagnosis and monitoring of therapeutic response of this disease.
引用
收藏
页码:73 / 76
页数:4
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