Negative gallium-67 citrate and positive positron emission tomography/computed tomography spleen scans, in Hodgkin's stage IV lymphoma.
An 18-year-old male patient with Hodgkin's lymphoma stage IVB (HL-IVB), is presented. On a follow-up examination a splenic ultrasound scan showed the presence of multiple intense nodules. The gallium-67 citrate, single photon emission tomography scan was negative, while positron emission tomography/computerized tomography (PET/CT) scan with fluoro-18-fluordeoxyglucose was strongly positive. Massive infiltration of the spleen by HL-IVB tissue was confirmed by pathology after splenectomy. Two successive PET/CT studies for follow-up purposes three and twelve months after completion of chemotherapy, were normal.
Malamitsi
Julia
J
PET/CT Department, Diagnostic and Therapeutic Center of Athens Hygeia, Harvard Medical International, Athens, Greece. j.malamitsi@yahoo.gr
Kosmidis
Helen
H
Valotassiou
Barbara
B
Bonou
Irene
I
Andreou
John
J
D000293:Adolescent; D002951:Citrates; D005708:Gallium; D005710:Gallium Radioisotopes; D006689:Hodgkin Disease / Q000175:diagnosis* / Q000000981:diagnostic imaging*; D006801:Humans; D008297:Male; D009362:Neoplasm Metastasis; D009367:Neoplasm Staging; D049268:Positron-Emission Tomography / Q000379:methods*; D019275:Radiopharmaceuticals; D012008:Recurrence; D013154:Spleen / Q000473:pathology; D014057:Tomography, X-Ray Computed / Q000379:methods*; D051598:Whole Body Imaging
D002951:Citrates; D005710:Gallium Radioisotopes; D019275:Radiopharmaceuticals; D005708:Gallium; C103850:gallium citrate