Case report: multiple systemic disseminated tuberculosis mimicking lymphoma on 18F-FDG PET/CT.
Medicine (Baltimore)
; 96(29): e7248, 2017 Jul.
Article
em En
| MEDLINE
| ID: mdl-28723740
ABSTRACT
RATIONALE F-fluorodeoxyglucose positron emission tomography/computed tomography (F-18 FDG PET/CT) has an important role in the diagnosis of various malignancies. However, F-18 FDG can also exhibit intense accumulation in tissues in inflammatory conditions such as active tuberculosis (TB) and sarcoidosis. PATIENT CONCERNS We report a case of a 52-year-old female with irritable cough. CT showed a lung mass with multiple bilateral lung nodules, and sarcoidosis was suspected. F-18 FDG PET/CT was undertaken for the diagnosis and showed intense uptake of FDG in the mass in the lower lobe of the right lung, multiple lymph nodes, liver, and spleen. The maximum standardized uptake value of F-18 FDG was 43.58. This pattern of involvement most likely represents lymphomatous involvement. DIAGNOSES Histopathology suggested tubercular involvement. INTERVENTION AND OUTCOMES:
The patient received anti-TB treatment and recovered. LESSONS Abovementioned extent and distribution of F-18 FDG in tubercular lesion is relatively rare, thus, one must be observant and aware with regards to TB being a strong mimic of lymphoma in endemic regions.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Tuberculose
/
Compostos Radiofarmacêuticos
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Fluordesoxiglucose F18
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Tomografia por Emissão de Pósitrons combinada à Tomografia Computadorizada
/
Linfoma
Tipo de estudo:
Diagnostic_studies
Limite:
Female
/
Humans
/
Middle aged
Idioma:
En
Ano de publicação:
2017
Tipo de documento:
Article