Gallium-67 scintigraphy in the treatment and prognosis of acute adult T-cell lymphoma.
The case of a 77-year-old male patient who complained of left upper quadrant pain and progressive vomiting. Laboratory examination showed extremely high lactic acid dehydrogenase (LDH) and adult T-cell leukemia antibody (ATLA). The anatomical studies CT, MRI, US and upper GI series substantiated an omental lymphadenopathy which was causing a circumferential compression of portions of the duodenum and jejunum. Gallium-67 citrate (Ga-67) scintigraphy showed high uptake at LUQ. Ultrasound guided biopsy failed to confirm the diagnosis. Irradiation was performed. Ga-67 scintigraphy had a contributory role in clinical subtyping of the disease, planning of treatment, posttreatment assessment and prognostication of adult T-cell lymphoma.
Flores
L G
LG
Department of Radiology, Miyazaki Medical College, Kiyotake, Japan.
Nagamachi
S
S
Nishii
R
R
Jinnouchi
S
S
Ohnishi
T
T
Shimao
Y
Y
Watanabe
K
K
Tamura
S
S
D000368:Aged; D017809:Fatal Outcome; D005710:Gallium Radioisotopes / Q000493:pharmacokinetics / Q000627:therapeutic use*; D006801:Humans; D015459:Leukemia-Lymphoma, Adult T-Cell / Q000000981:diagnostic imaging / Q000473:pathology / Q000532:radiotherapy*; D008297:Male; D009336:Necrosis; D011379:Prognosis; D011877:Radionuclide Imaging; D014057:Tomography, X-Ray Computed
D005710:Gallium Radioisotopes