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Fluorine-18 fluorodeoxyglucose positron emission tomography/computed tomography evaluation of subcutaneous panniculitis-like T cell lymphoma and treatment response

引用

World Journal of Clinical Cases 2016年第9期4卷 258-263页

作者： Vadim R Gorodetskiy Olga V Mukhortova Irakli P Aslanidis Wolfram Klapper Natalya A Probatova Department of Intensive Methods of Therapy V.A. Nasonova Research Institute of RheumatologyRussian Academy of Medical Sciences Department of Nuclear Diagnostics Bakoulev Scientific Center for Cardiovascular Surgery Department of Pathology Hematopathology Section and Lymph Node RegistryChristian-Albrecht University Kiel and University Hospital Schleswig-Holstein Department of Pathology N.N. Blokhin Russian Cancer Research CenterRussian Academy of Medical Sciences

Subcutaneous panniculitis-like T cell lymphoma(SPTCL) is a very rare variant of non-Hodgkin's lymphoma. Currently, there is no standard imaging method for staging of SPTCL nor for assessment of treatment response. Here, we describe our use of fluorine-18 fluorodeoxyglucose(FDG) positron emission tomography/computed tomography(PET/CT) for staging and monitoring of treatment response in 3 cases of SPTCL. Primary staging by PET/CT showed that all 3 patients had multiple foci in the subcutaneous fat tissue, with SUVmax from 10.5 to 14.6. Involvement of intra-abdominal fat with high SUVmax was identified in 2 of the patients. Use of the triple drug regimen of gemcitabine, cisplatin and methylprednisolone(commonly known as "GEM-P") as first-line therapy or second-line therapy facilitated complete metabolic response for all 3 cases. FDG PET/CT provides valuable information for staging and monitoring of treatment response and can reveal occult involvement of the intraabdominal visceral fat. High FDG uptake on pre-treatment PET can identify patients with aggressive disease and help in selection of first-line therapy.

关键词： Staging Subcutaneous panniculitis-like T cell lymphoma Positron emission tomography Treatment Non-Hodgkin’s lymphoma

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