Yin Yafu, Qing Feng, Li Xuena, DU Bulin, Li Na, Li Yaming
Department of Nuclear Medicine, The First Hospital of China Medical University, Shenyang, Liaoning, P.R. China ;
Exp Ther Med. 2011 Sep;2(5):817-820. doi: 10.3892/etm.2011.300. Epub 2011 Jun 29.
Lymphoma, particularly non-Hodgkin's lymphoma, may occur in sites other than the lymph nodes, i.e., extranodal lymphoma, which occurs in approximately 40% of total lymphoma cases. However, simultaneous detection of multiple extranodal involvements at presentation is quite uncommon. Here, we report a rare case of a 55-year-old Chinese man with non-Hodgkin's lymphoma of the left testicle and bilateral adrenals as determined by (18)F-FDG PET/CT imaging. FDG PET/ CT has been successfully employed for lymphoma diagnosis, initial staging, restaging and therapy follow-up. It is useful for assessing both nodal and extranodal involvements. In the present case of lymphoma with involvement of the testicle and bilateral adrenals, (18)F-FDG PET/CT played an important role in the diagnosis and assessment of therapeutic response.
淋巴瘤，尤其是非霍奇金淋巴瘤，可能发生在淋巴结以外的部位，即结外淋巴瘤，约占所有淋巴瘤病例的40%。然而，在初诊时同时检测到多个结外受累情况相当少见。在此，我们报告一例罕见病例，一名55岁中国男性，经（18）F-FDG PET/CT成像确定患有左侧睾丸和双侧肾上腺非霍奇金淋巴瘤。FDG PET/CT已成功用于淋巴瘤的诊断、初始分期、再分期及治疗随访。它有助于评估淋巴结和结外受累情况。在本例累及睾丸和双侧肾上腺的淋巴瘤中，（18）F-FDG PET/CT在诊断及治疗反应评估中发挥了重要作用。
