Utility of 18F-FDG PET/CT in Assessment of Disease Extent and Response to Treatment in Xanthoma Disseminatum.

IF 1 Q4 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Journal of nuclear medicine technology Pub Date : 2023-12-05 DOI:10.2967/jnmt.123.266162
Kunal Ramesh Chandekar, Swayamjeet Satapathy, Ananya Sharma, Neha Taneja, Madhavi Tripathi, Chandrasekhar Bal
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Abstract

The clinical utility of 18F-FDG PET/CT is being increasingly recognized in histiocytic disorders. We report the case of a 23-y-old woman who presented with slowly progressive, yellowish-brown papules, plaques, and nodules over her face and flexures. Besides the multiple cutaneous lesions, lesions of the brain, stomach, gallbladder, and marrow were additionally revealed by baseline 18F-FDG PET/CT. Skin biopsy and the overall clinical picture were consistent with xanthoma disseminatum. Subsequent PET/CT after cladribine therapy revealed a decrease in the extent and metabolic activity of most lesions, suggestive of a favorable response. This case report highlights the potential role of 18F-FDG PET/CT in the accurate assessment of disease extent and posttreatment response in rare histiocytic disorders.

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18F-FDG PET/CT在评估广泛性黄瘤疾病程度和治疗反应中的应用
18F-FDG PET/CT在组织细胞疾病中的临床应用日益得到认可。我们报告一例23岁的妇女谁提出了缓慢进展,黄褐色丘疹,斑块和结节在她的脸和屈曲。基线18F-FDG PET/CT除显示多发皮肤病变外,还显示脑、胃、胆囊、骨髓病变。皮肤活检和整体临床表现符合弥散性黄瘤。克拉德滨治疗后的PET/CT显示,大多数病变的范围和代谢活性都有所下降,表明治疗效果良好。本病例报告强调了18F-FDG PET/CT在准确评估罕见组织细胞疾病的疾病程度和治疗后反应方面的潜在作用。
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来源期刊
Journal of nuclear medicine technology
Journal of nuclear medicine technology RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING-
CiteScore
1.90
自引率
15.40%
发文量
57
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