原发扁桃体淋巴瘤的 F-18 FDG PET/CT 显像。

F-18 FDG PET/CT in primary tonsillar lymphoma.

机构信息

Division of PET/CT Center, Department of Nuclear Medicine, Huadong Hospital, Fudan University, Shanghai, People's Republic of China.

出版信息

Clin Nucl Med. 2010 Sep;35(9):710-2. doi: 10.1097/RLU.0b013e3181e9fc29.

DOI:10.1097/RLU.0b013e3181e9fc29

PMID:20706049

Abstract

Non-Hodgkin lymphomas quite often present in the head and neck but primary tonsillar lymphomas of extranodal non-Hodgkin lymphomas are far less than 1% of head and neck malignancies. Reports of F-18 fluorodeoxyglucose positron emission tomography (F-18 FDG PET/CT) related to primary tonsillar lymphoma are seldom. A 59-year-old man suffered from painful swelling of the bilateral tonsil. Biopsy diagnosed diffuse large B-cell lymphoma. F-18 FDG PET/CT was performed for disease staging. Whole-body F-18 FDG PET/CT revealed the intense FDG uptake of bilateral tonsil with an additional small lymph node in the right side of the neck. This case also highlights the usefulness of staging and assessing therapy response in rare types of lymphoma.

摘要

非霍奇金淋巴瘤常发生于头颈部，但结外非霍奇金淋巴瘤原发于扁桃体者不足头颈部恶性肿瘤的 1%。有关扁桃体原发性淋巴瘤的 F-18 氟脱氧葡萄糖正电子发射断层扫描（F-18 FDG PET/CT）报道较少。本文报告 1 例 59 岁男性患者，双侧扁桃体疼痛性肿胀，活检诊断弥漫性大 B 细胞淋巴瘤，行 F-18 FDG PET/CT 进行疾病分期。全身 F-18 FDG PET/CT 显示双侧扁桃体摄取 FDG 明显增高，右侧颈部还有 1 个小淋巴结。该病例还强调了在罕见类型淋巴瘤中进行分期和评估治疗反应的重要性。