The use of whole-body fluorine-18-fluorodeoxyglucose positron emission tomography integrated with computed tomography for accurate staging and surveillance in the case of mucosa-associated lymphoid tissue

Shunqing Zhang, Allen Rossetti-Chung, Sumit S Sood, Stephanie Terezakis

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

We present the case of a 79-year-old male, who was initially treated for mucosa-associated lymphoid tissue lymphoma (MALT lymphoma) of the right eyelid, and later for disease relapse in the stomach. During follow up, he was noted to have developed left arm nodules just medial to the proximal biceps muscle, which were found to be multiply enlarged lymph nodes on subsequent ultrasound imaging. Excisional biopsy of these nodes revealed MALT lymphoma. He was initially referred for consideration of radiation, but a restaging F-18 fluorodeoxyglucose positron emission tomography integrated with computed tomography (F-18 FDG PET/CT) further identified a focus of suspicious uptake in left calf, which was later also biopsy proven to be MALT lymphoma. His disease was upstaged as the result of this later finding, and the overall recommendation for treatment changed to favor systemic treatment with Rituximab.

Original languageEnglish (US)
Pages (from-to)19-28
Number of pages10
JournalJournal of Radiology Case Reports
Volume15
Issue number3
DOIs
StatePublished - Mar 31 2021

Bibliographical note

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Keywords

  • Extranodal marginal zone B-cell lymphoma
  • Field of view
  • Marginal zone lymphoma of MALT
  • Mucosa-associated lymphatic tissue (MALT) lymphoma
  • PET/CT

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