18F-FDG PET/CT在粘膜相关淋巴组织淋巴瘤患者并发原发性骨髓纤维化中的表现

IF 2 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING American journal of nuclear medicine and molecular imaging Pub Date : 2024-12-15 eCollection Date: 2024-01-01 DOI:10.62347/BZUZ7442
Yanmei Han, Ruolin Wu, Yajing Zhang, Xiao Zhang, Zairong Gao
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引用次数: 0

摘要

一名61岁男性,表现为呕血和黑黑。活检和免疫组化证实胃窦后壁粘膜相关淋巴组织(MALT)淋巴瘤,提示采用18f -氟脱氧葡萄糖(18F-FDG)正电子发射断层扫描/计算机断层扫描(PET/CT)进一步评估。除了胃窦摄取升高外,18F-FDG PET/CT显示多发性骨髓弥漫性摄取,最初怀疑是淋巴瘤累及骨髓。进一步检查确定为原发性骨髓纤维化(PMF)。同时治疗后,18F-FDG PET/CT显示胃窦摄取阴性,表明淋巴瘤完全缓解,而骨髓摄取升高提示PMF进展。MALT淋巴瘤与PMF共存是非常罕见的。本病例强调了18F-FDG PET/CT在MALT淋巴瘤合并PMF患者中的图像特征及潜在的诊断和治疗监测价值。
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18F-FDG PET/CT findings in a mucosa-associated lymphoid tissue lymphoma patient coexisting with primary myelofibrosis.

A 61-year-old male presented with hematemesis and melena. Biopsy and immunohistochemistry confirmed mucosa-associated lymphoid tissue (MALT) lymphoma in the posterior wall of the gastric antrum, prompting further evaluation with 18F-fluorodeoxyglucose (18F-FDG) positron emission tomography/computed tomography (PET/CT). In addition to elevated uptake in the gastric antrum, 18F-FDG PET/CT showed diffuse uptake in multiple bone marrow, initially suspected to indicate bone marrow involvement by lymphoma. Further examination identified it as primary myelofibrosis (PMF). Following concurrent therapies, 18F-FDG PET/CT demonstrated negative uptake in gastric antrum, indicating complete remission of the lymphoma, while the elevated bone marrow uptake suggested progression of PMF. The coexistence of MALT lymphoma and PMF is very rare. This case highlights the image characteristics and potential diagnostic and therapeutic monitoring value of 18F-FDG PET/CT in patients with concurrent MALT lymphoma and PMF.

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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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