title: Pulmonary intravascular lymphoma detected by FDG PET-CT: a case report.
abstract: Intravascular lymphoma is a rare subtype of extranodal Non-Hodgkin's lymphoma. Its prognosis is poor in a high percentage of cases due to its insidious appearance and low clinical suspicion. Its diagnosis is usually only reached after an autopsy. It may affect different organs as a whole or only one organ. It is extremely rare that the lung is the only damaged organ. Its diagnosis depends of the clinician's suspicion and proper evaluation with imaging studies as well as correct selection of the organ to be biopsied. When detected on time, the treatment of choice is a combination of a series of chemotherapy associated to a monoclonal antibody (anti-CD20). We present the case of a male patient who underwent a positron emission tomography-computed tomography with 2-[F-18]-fluoro-2 deoxy-D-glucose (FDG) due to symptoms suggestive of a lymphoproliferative disease with no clear structural abnormalities. The images led to a diagnosis of pulmonary intravascular large B cell lymphoma.
authors: Departamento de Diagnóstico por Imágenes, Hospital Italiano de Buenos Aires, Ciudad Autónoma de Buenos Aires, Argentina. andreskohan1@gmail.com
authors: A A
authors: AA
authors: Kohan
authors: L
authors: L
authors: Paganini
authors: P
authors: P
authors: Biedak
authors: J I
authors: JI
authors: Arma
authors: M C L
authors: MC
authors: Dalurzo
authors: R D
authors: RD
authors: Garcia-Monaco
mesh_terms: D000368:Aged; D002196:Capillaries / Q000473:pathology; D002467:Cell Nucleus / Q000648:ultrastructure; D005462:Fluorine Radioisotopes; D019788:Fluorodeoxyglucose F18; D006801:Humans; D008168:Lung / Q000098:blood supply / Q000000981:diagnostic imaging; D008175:Lung Neoplasms / Q000175:diagnosis*; D016403:Lymphoma, Large B-Cell, Diffuse / Q000175:diagnosis*; D008297:Male; D064847:Multimodal Imaging; D049268:Positron-Emission Tomography; D019275:Radiopharmaceuticals; D014057:Tomography, X-Ray Computed; D019043:Vascular Neoplasms / Q000175:diagnosis*
chemical_list: D005462:Fluorine Radioisotopes; D019275:Radiopharmaceuticals; D019788:Fluorodeoxyglucose F18
keywords: (18)F-FDG; Intravascular lymphoma; Linfoma intravascular; Lung; PET-CT; PET-TC; Pulmón