| Literature DB >> 23011892 |
Patricia do Socorro Queiroz Feio1, Camilla Borges Ferreira Gomes, Alexandre Simões Nogueira, Luciana Yamamoto Almeida, José Vassallo, Fernando Augusto Soares, Oslei Paes Almeida, Jorge Esquiche León.
Abstract
The 18F-fluorodeoxyglucose positron emission tomography/computed tomography (FDG-PET/CT) has become a standard procedure for the diagnosis, staging, and restaging in lymphoma patients. However, a relative high rate of false-positive results has been reported. We report a case of a 40-year-old man with a previous history of a nodal follicular lymphoma, stage IVA, treated with R-CHOP, which showed strong 18F-FDG uptake in the Waldeyer's tonsillar ring during his follow-up, being considered highly suspicious of relapsed lymphoma. A surgical removal of the palatine tonsils and adenoids was performed, which showed reactive follicular hyperplasia. Furthermore, bone marrow biopsy revealed absence of neoplasia. The patient is still in follow-up with no signs of recurrent lymphoma. This case illustrates that, despite the high sensitivity for the detection of recurrent lymphoma, 18F-FDG uptake should be interpreted with great caution and confirmatory studies should be performed before any therapy.Entities:
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Year: 2012 PMID: 23011892 PMCID: PMC3738754 DOI: 10.1007/s12105-012-0400-5
Source DB: PubMed Journal: Head Neck Pathol ISSN: 1936-055X