Cammilleri Serge, Guzian Marie Caroline, Mattei Jean-Pierre, Mundler Olivier, Guis Sandrine
Service de Médecine Nucléaire, AP-HM, Faculté de Médecine de Marseille, Hôpital La Timone, Aix-Marseille University, 27 Boulevard Jean Moulin, 13005 Marseille, France.
Case Rep Med. 2013;2013:594704. doi: 10.1155/2013/594704. Epub 2013 Jun 2.
We showed the first image of (18)FDG-PET, which leads to a diagnosis of lymphoma in an atypical polyarthritis. About 4% of patients with lymphoma or leukemia suffered from rheumatologic paraneoplastic symptoms like arthralgia and about 10% of the patients with rheumatologic or neurologic clinical symptoms develop a solid cancer or hematological neoplasm. (18)FDG-PET is an interesting exam to identify an underlying malignancy when a paraneoplastic syndrome is suspected; it can detect the primitive lesion and/or the metastasis lesions. The use of the (18)FDG-PET can help to detect earlier hematological neoplasm in cases of paraneoplastic syndrome without a determined cause and to treat more rapidly and specifically the patient.