Gallium Scan-Prompted Skin Biopsy Revealed Intravascular Large B-Cell Lymphoma in a Patient Who Presented With Fever of Unknown Origin

被引:3
作者
Chen, Shih-Hsin [1 ,2 ]
Yu, Kuang-Hui [3 ]
Lin, Tung-Liang [4 ]
Chuang, Wen-Yu [5 ]
Yen, Tzu-Chen [1 ,2 ]
机构
[1] Chang Gung Mem Hosp & Univ, Dept Nucl Med, Tao Yuan, Taiwan
[2] Chang Gung Mem Hosp & Univ, Mol Imaging Ctr, Tao Yuan, Taiwan
[3] Chang Gung Mem Hosp & Univ, Div Rheumatol, Tao Yuan, Taiwan
[4] Chang Gung Mem Hosp & Univ, Div Hematol Oncol, Dept Internal Med, Tao Yuan, Taiwan
[5] Chang Gung Mem Hosp & Univ, Dept Pathol, Tao Yuan, Taiwan
关键词
gallium scintigraphy; intravascular lymphoma; fever of unknown origin; FDG-PET;
D O I
10.1097/RLU.0b013e31819e5293
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
Intravascular large B-cell lymphoma is a rare form of non-Hodgkin lymphoma with heterogeneous clinical presentations. We report a case diagnosed by a skin biopsy prompted by a gallium-67 scan. A 39-year-old man presented with intermittent fever for 1 year without a definite diagnosis. The scan revealed diffuse uptake in the subcutaneous tissues of the abdominal wall and bilateral thighs. A skin biopsy of the right inner thigh revealed intravascular large B-cell lymphoma. Chemotherapy was begun and the fever subsided accordingly.
引用
收藏
页码:318 / 320
页数:3
相关论文
共 8 条
[1]   Variations in clinical presentation, frequency of hemophagocytosis and clinical behavior of intravascular lymphoma diagnosed in different geographical regions [J].
Ferreri, Andres J. M. ;
Dognini, Giuseppina P. ;
Campo, Elias ;
Willemze, Rein ;
Seymour, John F. ;
Bairey, Osnat ;
Martelli, Maurizio ;
De Renz, Amalia O. ;
Doglioni, Claudio ;
Montalban, Carlos ;
Tedeschi, Alberto ;
Pavlovsky, Astrid ;
Morgan, Sue ;
Uziel, Lilj ;
Ferracci, Massimo ;
Ascani, Stefano ;
Gianelli, Umberto ;
Patriarca, Carlo ;
Facchetti, Fabio ;
Dalla Libera, Alessio ;
Pertoldi, Barbara ;
Horvath, Barbara ;
Szomor, Arpad ;
Zucca, Emanuele ;
Cavalli, Franco ;
Ponzoni, Maurilio .
HAEMATOLOGICA, 2007, 92 (04) :486-492
[2]   Fever of unknown origin: a systematic review of the literature for 1995-2004 [J].
Gaeta, GB ;
Fusco, FM ;
Nardiello, S .
NUCLEAR MEDICINE COMMUNICATIONS, 2006, 27 (03) :205-211
[3]   Usefulness of FDG-PET to diagnose intravascular lymphomatosis presenting as fever of unknown origin [J].
Hoshino, A ;
Kawada, E ;
Ukita, T ;
Itoh, K ;
Sakamoto, H ;
Fujita, K ;
Mantani, N ;
Kogure, T ;
Tamura, J .
AMERICAN JOURNAL OF HEMATOLOGY, 2004, 76 (03) :236-239
[4]   Whole-body muscle gallium uptake in a large B-cell non-Hodgkin lymphoma [J].
Lorenzo-Bosquet, C ;
Navarrete, M ;
Rubió, A ;
López, A ;
Castell-Conesa, J .
EUROPEAN JOURNAL OF NUCLEAR MEDICINE AND MOLECULAR IMAGING, 2004, 31 (10) :1452-1452
[5]   Fever of unknown origin:: prospective comparison of [18F]FDG imaging with a double-head coincidence camera and gallium-67 citrate SPET [J].
Meller, J ;
Altenvoerde, G ;
Munzel, U ;
Jauho, A ;
Behe, M ;
Gratz, S ;
Luig, H ;
Becker, W .
EUROPEAN JOURNAL OF NUCLEAR MEDICINE, 2000, 27 (11) :1617-1625
[6]   Definition, diagnosis, and management of intravascular large B-Cell lymphoma: Proposals and perspectives from an international consensus meeting [J].
Ponzoni, Maurilio ;
Ferreri, Andres J. M. ;
Campo, Elias ;
Facchetti, Fabio ;
Mazzucchelli, Luca ;
Yoshino, Tadashi ;
Murase, Takuhei ;
Pileri, Stefano A. ;
Doglioni, Claudio ;
Cavalli, Emanuele Zucca Franco ;
Nakamura, Shigeo .
JOURNAL OF CLINICAL ONCOLOGY, 2007, 25 (21) :3168-3173
[7]   Evaluation of organ involvement in intravascular large B-cell lymphoma by 18F-fluorodeoxyglucose positron emission tomography [J].
Shimada, Kazuyuki ;
Kosugi, Hiroshi ;
Shimada, Satoko ;
Narimatsu, Hiroto ;
Koyama, Yoshitsugu ;
Suzuki, Nobuaki ;
Yuge, Masaaki ;
Nishibori, Hironori ;
Iwata, Yosuke ;
Nakamura, Shigeo ;
Naoe, Tomoki ;
Kinoshita, Tomohiro .
INTERNATIONAL JOURNAL OF HEMATOLOGY, 2008, 88 (02) :149-153
[8]   Successful treatment of intravascular large B-cell lymphoma diagnosed by bone marrow biopsy and FDG-PET scan [J].
Takahashi, Tohru ;
Minato, Masashi ;
Tsukuda, Hiroyuki ;
Yoshimoto, Mitsuru ;
Tsujisaki, Masayuki .
INTERNAL MEDICINE, 2008, 47 (10) :975-979