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Article

Granulomatous Lymphangitis Masquerading as Relapsed Hodgkin Disease on FDG PET/CT

by
Mansour Mustafa
1,
Dhruv Patel
1,
Lily Shen
1,
Anita Shetty
2 and
Robert Mansberg
1,3,*
1
Nuclear Medicine and PET Department Nepean Hospital, Penrith, New South Wales, Australia
2
Department Haematology, Nepean Hospital, Penrith, New South Wales, Australia
3
Sydney Medical School Nepean, University of Sydney, New South Wales, Australia
*
Author to whom correspondence should be addressed.
Tomography 2018, 4(1), 1-3; https://doi.org/10.18383/j.tom.2017.00022
Submission received: 6 December 2017 / Revised: 2 January 2018 / Accepted: 7 February 2018 / Published: 1 March 2018

Abstract

A 38-year-old woman with Hodgkin lymphoma was referred for staging fludeoxyglucose (18F) positron emission tomography/computed tomography (FDG PET/CT) that showed widespread intensely FDG-avid disease in multiple nodal stations above the diaphragm and spleen and extranodal involvement in the lungs and vertebral bodies. She underwent chemotherapy and radiotherapy. Progress FDG PET/CT 5 months later showed significant metabolic and anatomic response. Repeat FDG PET/CT 1 month later was highly suspicious of recurrent disseminated FDG-avid lymphoma in multiple nodal stations above and below the diaphragm, spleen, multiple bones, and lungs. Subsequent bone marrow biopsy showed sarcoid-like granulomatous inflammation with no evidence of lymphoma. The patient was clinically well and no active treatment was instituted. Subsequent FDG PET/CT 2 months later showed complete resolution of metabolic activity.
Keywords: hodgkin disease; granulomatous lymphangitis; PET/CT; relapse hodgkin disease; granulomatous lymphangitis; PET/CT; relapse

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MDPI and ACS Style

Mustafa, M.; Patel, D.; Shen, L.; Shetty, A.; Mansberg, R. Granulomatous Lymphangitis Masquerading as Relapsed Hodgkin Disease on FDG PET/CT. Tomography 2018, 4, 1-3. https://doi.org/10.18383/j.tom.2017.00022

AMA Style

Mustafa M, Patel D, Shen L, Shetty A, Mansberg R. Granulomatous Lymphangitis Masquerading as Relapsed Hodgkin Disease on FDG PET/CT. Tomography. 2018; 4(1):1-3. https://doi.org/10.18383/j.tom.2017.00022

Chicago/Turabian Style

Mustafa, Mansour, Dhruv Patel, Lily Shen, Anita Shetty, and Robert Mansberg. 2018. "Granulomatous Lymphangitis Masquerading as Relapsed Hodgkin Disease on FDG PET/CT" Tomography 4, no. 1: 1-3. https://doi.org/10.18383/j.tom.2017.00022

APA Style

Mustafa, M., Patel, D., Shen, L., Shetty, A., & Mansberg, R. (2018). Granulomatous Lymphangitis Masquerading as Relapsed Hodgkin Disease on FDG PET/CT. Tomography, 4(1), 1-3. https://doi.org/10.18383/j.tom.2017.00022

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