Dhull Varun Singh, Sharma Punit, Singla Suhas, Faizi Nauroze Asghar, Thulkar Sanjay, Bal Chandersekhar, Kumar Rakesh
Department of Nuclear Medicine, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, 110029 India.
Department of Nuclear Medicine, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, 110029 India ; Department of Radiodiagnosis, All India Institute of Medical Sciences, New Delhi, India.
Nucl Med Mol Imaging. 2013 Jun;47(2):125-9. doi: 10.1007/s13139-012-0183-3. Epub 2012 Nov 9.
We present a case of a 23 year-old male treated for Hodgkin's lymphoma who developed diffuse large B-cell lymphoma (DLBCL) 8 years after achieving remission. (18)F-fluorodeoxyglucose positron emission tomography computed tomography ((18)F-FDG PET-CT) was done, which revealed extensive extranodal involvement of bilateral atria, bilateral kidneys, ileo-caecal junction and left testis along with mesenteric and retroperitoneal lymph nodal involvement. Renal and cardiac lesions were not detected by contrast-enhanced CT. Simultaneous lymphomatous involvement of rare sites such as heart, kidneys and testis in a single patient has not been reported before.
我们报告一例23岁男性霍奇金淋巴瘤患者，在缓解8年后发生弥漫性大B细胞淋巴瘤（DLBCL）。进行了（18）F-氟脱氧葡萄糖正电子发射断层扫描计算机断层扫描（（18）F-FDG PET-CT），结果显示双侧心房、双侧肾脏、回盲部和左侧睾丸广泛的结外受累，同时伴有肠系膜和腹膜后淋巴结受累。对比增强CT未检测到肾脏和心脏病变。此前尚未报道过同一患者心脏、肾脏和睾丸等罕见部位同时发生淋巴瘤浸润的情况。
