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18F-FDG PET/CT在弥漫性大B细胞淋巴瘤(DLBCL)结外复发诊断中的应用:1例临床病例并文献复习

18F-FDG PET/CT in the diagnosis of an extranodal relapse of diffuse large B-cell lymphoma (DLBCL): a clinical case with a literature review.

作者信息

Chaushev Borislav, Micheva Ilina, Mechmed Merilin, Balev Boyan, Bocheva Yana, Ivanova Darina, Krasnaliev Ivan, Lozanova Rumena, Klisarova Anelia, Bochev Pavel, Dancheva Jivka

机构信息

Department of Nuclear Medicine and Metabolic Therapy MBAL ``St. Marina``, Varna.

出版信息

Nucl Med Rev Cent East Eur. 2016;19(B):11-13. doi: 10.5603/NMR.2016.0029.

Abstract

Extranodal lymphoma, secondary to or accompanying nodal disease is uncommon, but not unusual finding. 18-Fluorodeoxyglucose positron emission tomography (18F-FDG PET/CT) imaging has an essential role in the staging of lymphoma, in treatment response monitoring, and in detection of recurrence. We present a case of a 52-year-old man with generalized diffuse large B-cell lymphoma (DLBCL) with multiple extranodal sites involvement detected by 18F-FDG PET/CT. With this clinical case we demonstrate that 18F-FDG PET-CT is a more effective technique than CE-CT for the evaluation of viable extranodal involvement of the diffuse large B-cell lymphoma (DLBCL) and should be combined in the monitoring of DLBCL.

摘要

结外淋巴瘤继发于或伴随淋巴结疾病并不常见,但也并非罕见。18氟脱氧葡萄糖正电子发射断层扫描(18F-FDG PET/CT)成像在淋巴瘤分期、治疗反应监测及复发检测中起着重要作用。我们报告一例52岁男性,经18F-FDG PET/CT检测发现患有累及多个结外部位的弥漫性大B细胞淋巴瘤(DLBCL)。通过该临床病例,我们证明18F-FDG PET-CT在评估弥漫性大B细胞淋巴瘤(DLBCL)的结外活性受累方面比增强CT(CE-CT)更有效,应将其纳入DLBCL的监测中。

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