Duodenal-type follicular lymphoma in 18F-FDG PET/CT imaging: a case report.

IF 2 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING American journal of nuclear medicine and molecular imaging Pub Date : 2023-08-15 eCollection Date: 2023-01-01
Wenpeng Huang, Fangfang Chao, Yushuo Peng, Xiaoyue Zhang, Qi Yang, Lele Song, Liming Li, Lei Kang
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Abstract

Follicular lymphoma (FL) is a subtype of non-Hodgkin lymphoma (NHL) that is typically characterized by a slow-growing course. Duodenal-type follicular lymphoma (D-FL) was recently reclassified as a distinct variant. This subtype exhibits unique clinical and biological characteristics, which set it apart from other forms of FL. We report a case of a 36-year-old male patient with multiple, small, gray polypoid lesions in the descending duodenum which were detected by esophagogastroduodenoscopy. The pathological diagnosis was low-grade D-FL. 18F-FDG PET/CT was performed for staging and revealed the pancreas and peripheral lymph nodes were involved by FL, with a clinical IV stage. The patient underwent a bone marrow smear cytology, which revealed no bone marrow abnormalities, and excluded bone marrow involvement. He was treated with six cycles of chemotherapy using the R-CHOP regimen and reached complete remission.

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十二指肠型滤泡性淋巴瘤18F-FDG PET/CT显像1例报告。
滤泡性淋巴瘤(FL)是非霍奇金淋巴瘤(NHL)的一种亚型,其典型特征是生长缓慢。十二指肠型滤泡性淋巴瘤(D-FL)最近被重新分类为一种独特的变体。该亚型表现出独特的临床和生物学特征,这使其与其他形式的FL不同。我们报告了一例36岁的男性患者,通过食管胃十二指肠镜检查发现降十二指肠有多处小的灰色息肉样病变。病理诊断为低级别D-FL。18F-FDG PET/CT进行分期,显示FL累及胰腺和外周淋巴结,临床IV期。患者接受了骨髓涂片细胞学检查,没有发现骨髓异常,排除了骨髓受累。他使用R-CHOP方案接受了六个周期的化疗,并达到了完全缓解。
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来源期刊
American journal of nuclear medicine and molecular imaging
American journal of nuclear medicine and molecular imaging RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING-
自引率
4.00%
发文量
4
期刊介绍: The scope of AJNMMI encompasses all areas of molecular imaging, including but not limited to: positron emission tomography (PET), single-photon emission computed tomography (SPECT), molecular magnetic resonance imaging, magnetic resonance spectroscopy, optical bioluminescence, optical fluorescence, targeted ultrasound, photoacoustic imaging, etc. AJNMMI welcomes original and review articles on both clinical investigation and preclinical research. Occasionally, special topic issues, short communications, editorials, and invited perspectives will also be published. Manuscripts, including figures and tables, must be original and not under consideration by another journal.
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