Targeting personalized medicine in a non-Hodgkin lymphoma patient with 18F-FDG and 18F-choline PET/CT
Rev. Assoc. Med. Bras. (1992, Impr.); 63 (2), 2017
Publication year: 2017
Summary Early diagnosis and staging of non-Hodgkin lymphoma (NHL) is essential for therapeutic strategy decision. Positron emission tomography/computed tomography (PET/CT) with fluordeoxyglucose (FDG), a glucose analogue, labeled with fluor-18 (18F-FDG) has been used to evaluate staging, therapy response and prognosis in NHL patients. However, in some cases, 18F-FDG has shown false-positive uptake due to inflammatory reaction after chemo and/or radiation therapy. In this case report, we present a NHL patient evaluated with 18F-FDG and 18F-choline PET/CT scan imaging pre- and post-therapy. 18F-FDG and 18F-choline PET/CT were performed for the purpose of tumor staging and have shown intense uptake in infiltrative tissue as well as in the lymph node, but with some mismatching in the tumor. Post-treatment 18F-FDG and 18F-choline PET/ CT scans revealed no signs of radiotracer uptake, suggesting complete remission of the tumor. 18F-choline may be a complimentary tool for staging and assessment of therapeutic response in non-Hodgkin lymphoma, while non-18F-FDG tracer can be used for targeted therapy and patient management.
Colina, Fluorodesoxiglucosa F18, Ganglios Linfáticos/diagnóstico por imagen, Linfoma no Hodgkin/diagnóstico por imagen, Persona de Mediana Edad, Estadificación de Neoplasias, Neoplasias/diagnóstico por imagen, Tomografía Computarizada por Tomografía de Emisión de Positrones, Radiofármacos, Neoplasias Cutáneas/diagnóstico por imagen, Esternón