Hodgkin lymphoma

Case contributed by Dr Dalia Ibrahim

Presentation

Left neck swelling.

Patient Data

Age: 45 years
Gender: Male
CT

Metabolically active FDG-avid variable sized lymph nodes, including:

  • cervical: bilateral upper and lower deep cervical lymph nodes (more extensive at left side) with SUVmax 15.6 over 1.6 cm as measured on the left at level IV
  • left axillary level I with SUVmax 15.6 over 2.2 x 1.1 cm
  • mediastinal: pre-vascular, pre-tracheal, aortopulmonary, subcarinal, right tracheo-bronchial , cardiophrenic and epiphrenic lymph nodes with SUVmax 8.4 over 1.9 cm as recorded at right tracheobronchial nodes
  • abdominal: portocaval, porta hepatis, perisplenic, peripancreatic, aorto-caval, retrocrural and mesenteric with SUVmax 13.8 over 3.2 x 1.8 cm in perisplenic
  • spleen: mildly enlarged with patchy FDG uptake with SUVmax 6.4.
Photo

Cervical lymph node excision biopsy revealed Hodgkin lymphoma.

Case Discussion

FDG PET-CT  is used for the initial staging and assessment of treatment response in Hodgkin lymphoma (HL) and certain types of non-Hodgkin lymphomas (NHL)

FDG PET-CT is used for staging and re-staging of lymphoma.

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