Indian Journal of Nuclear Medicine
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INTERESTING IMAGE
Year : 2018  |  Volume : 33  |  Issue : 4  |  Page : 370-373

F-18 fluorodeoxyglucose positron-emission tomography-computed tomography in a case of extensive multi-organal extranodal lymphoma with cardiac involvement mimicking apical hypertrophic obstructive cardiomyopathy: Staging and response evaluation


1 Department of Nuclear Medicine and PET/CT, Postgraduate Institute of Medical Education and Research, Chandigarh, India
2 Department of Hemato-Oncology, Postgraduate Institute of Medical Education and Research, Chandigarh, India

Correspondence Address:
Rajender Kumar
Department of Nuclear Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh - 160 012
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijnm.IJNM_67_18

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18F fluorodeoxyglucose positron-emission tomography/computed tomography (18F-FDG PET/CT) is a standard imaging tool in staging as well as response evaluation for lymphoma. Here, we present a young male with extensive extranodal lymphoma with cardiac involvement which presented as diffuse myocardial lesion mimicking hypertrophic obstructive cardiomyopathy. 18F-FDG PET/CT helped in the staging by revealing multiple systemic involvements. Interim PET after three cycles of chemotherapy showed a complete metabolic response to therapy in all the extranodal sites including the cardiac involvement, thus retrospectively confirming the lymphomatous involvement. Previous literature also conforms to the superior role of 18F-FDG PET/CT in the clinical management of extensive extranodal lymphoma.


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