Unsuspected synchronous lung cancer unveiled on FDG PET after chemotherapy for non-Hodgkin lymphoma.

Unsuspected synchronous lung cancer unveiled on FDG PET after chemotherapy for non-Hodgkin lymphoma.
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DOI:
10.1097/rlu.0b013e31815f2440
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发表时间:
2008-02
影响因子:
10.6
通讯作者:
Yifan Zhang;Geming Li;H. Zhuang
Yifan Zhang;Geming Li;H. Zhuang
中科院分区:
医学3区
文献类型:
--
作者:
Yifan Zhang;Geming Li;H. Zhuang

文献摘要

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一名68岁男性,有非霍奇金淋巴瘤病史,表现为疲乏、体重减轻和咳嗽。疑似复发性淋巴瘤,患者随后接受FDG PET扫描,结果显示纵隔和双侧肺门区域存在多个高代谢灶。化疗期间和化疗后进行了两次随访FDG PET扫描,以监测治疗的有效性。化疗期间和化疗后,大多数病灶的活性降低。然而,右肺门区域的1个病灶在化疗期间继续生长,后来被证明是鳞状细胞癌。
A 68-year-old man with a history of non-Hodgkin lymphoma presented with fatigue, weight loss, and coughing. Recurrent lymphoma was suspected and the patient then underwent an FDG PET scan, which revealed multiple foci of hypermetabolism in the mediastinum and bilateral hilar regions of the lungs. Two follow-up FDG PET scans were performed during and after chemotherapy to monitor the effectiveness of the therapy. There was diminished activity in most lesions during and after chemotherapy. However, 1 lesion in the region of the right hilum continued to grow during chemotherapy, which was later proven to be squamous cell carci-