A case of diffuse large B-cell lymphoma in association with paraesophageal leiomyoma: highlighting false-positivity of PET scan and importance of tissue diagnosis

Journal of the National Comprehensive Cancer Network : JNCCN
Rajinder S GroverAmrita Krishnan

Abstract

PET scan and PET/CT scans are being widely used for staging of diffuse large B-cell lymphoma (DLBCL) and Hodgkin lymphoma. They are sensitive and specific imaging techniques available for lymphoma. However, practicing hematologists must be aware of false-positive tests, which can upgrade the stage of the lymphoma significantly and may alter the treatment paradigm for an individual patient. This report describes a case of DLBCL that was upgraded with PET/CT scan to stage IVA from stage IA. Pursuit of tissue biopsy with minimally invasive surgery eventually confirmed it to be stage IA DLBCL and paraesophageal leiomyoma. This case highlights the potential pitfalls of modern imaging techniques and the need for histologic diagnosis.

Citations

Oct 11, 2013·Clinical Nuclear Medicine·Alireza MojtahediGary A Ulaner
Nov 21, 2012·Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus·B H ZhangY G Wang

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