Neurolymphomatosis: Unusual Extranodal Involvement Pattern on 18F-FDG PET/CT in a Non-Hodgkin Lymphoma Recurrence

Autores

  • Marcos Pretto Mosmann Serviço de Medicina Nuclear Hospital de Clínicas de Porto Alegre
  • Clarice Sprinz Serviço de Medicina Nuclear e PET/CT Hospital Mãe de Deus
  • Ana Amélia Raupp Serviço de Medicina Nuclear e PET/CT Hospital Mãe de Deus
  • Thiago Krieger Bento da Silva Serviço de Radiologia Hospital Mãe de Deus
  • Henrique Rodrigues de Abreu Serviço de Radiologia Hospital Mãe de Deus

Palavras-chave:

PET, PET/CT, Neurolymphomatosis, Lymphoma

Resumo

A 37-year-old woman was diagnosed with Stage IVB diffuse large-B cell lymphoma, presenting with bulky mediastinal and bone marrow involvement. She was treated with 8 cycles of R-CHOP and radiotherapy, achieving complete remission on CT. Two months latter, she presented with pain and weakness in the lower limbs. The ENM, MR and the CSF analysis had shown evidence of lymphoma recurrence with initiation of intrathecal chemotherapy. Her disease continued to progress despite treatment. The following PET/CT shows multiple hypermetabolic areas, compatible with extranodal disease and poor response to therapy, allowing change to R-ICE and autologous stem cell treatment.

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Publicado

2011-04-27

Como Citar

1.
Mosmann MP, Sprinz C, Raupp AA, da Silva TKB, de Abreu HR. Neurolymphomatosis: Unusual Extranodal Involvement Pattern on 18F-FDG PET/CT in a Non-Hodgkin Lymphoma Recurrence. Clin Biomed Res [Internet]. 27º de abril de 2011 [citado 29º de março de 2024];31(1). Disponível em: https://seer.ufrgs.br/index.php/hcpa/article/view/18168

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Imagem Diagnóstica