Sarcoid-Like Reaction in Non-Hodgkin's Lymphoma-A Diagnostic Challenge for Deauville Scoring on

Deauville NHL PET/CT lymphoma pitfall sarcoid-like reaction

Journal

Diagnostics (Basel, Switzerland)
ISSN: 2075-4418
Titre abrégé: Diagnostics (Basel)
Pays: Switzerland
ID NLM: 101658402

Informations de publication

Date de publication:
31 May 2021
Historique:
received: 07 05 2021
revised: 26 05 2021
accepted: 28 05 2021
entrez: 2 6 2021
pubmed: 3 6 2021
medline: 3 6 2021
Statut: epublish

Résumé

The sarcoid-like reaction represents an autoinflammatory cause of mediastinal and hilar lymphadenopathy but may also involve other lymph node regions and organs. This rare phenomenon has mainly been reported in patients with Hodgkin's lymphoma (HL) or solid tumors (particularly melanoma) undergoing immunotherapy and chemotherapy. Cases in non-Hodgkin's lymphoma (NHL) are very uncommon. We present an uncommon case of a patient with primarily mediastinal diffuse large B-cell lymphoma (DLBCL) who showed a CT-based partial response in interim staging, whereas at end-of-treatment multiple newly enlarged and hypermetabolic mediastinal and bilateral hilar lymph nodes were detected by

Identifiants

pubmed: 34073137
pii: diagnostics11061009
doi: 10.3390/diagnostics11061009
pmc: PMC8229233
pii:
doi:

Types de publication

Journal Article

Langues

eng

Références

Br J Cancer. 1986 Sep;54(3):467-73
pubmed: 3756082
J Clin Oncol. 2014 Jun 10;32(17):1769-75
pubmed: 24799481
J Gastrointest Oncol. 2016 Aug;7(4):E72-6
pubmed: 27512605
N Engl J Med. 2013 Apr 11;368(15):1408-16
pubmed: 23574119
Hum Pathol. 2005 May;36(5):546-54
pubmed: 15948122
J Thorac Oncol. 2018 Aug;13(8):1076-1082
pubmed: 29763666
Radiology. 2018 Nov;289(2):564-567
pubmed: 30106351
Br J Cancer. 1972 Apr;26(2):120-3
pubmed: 5038325
Eur J Nucl Med Mol Imaging. 2021 Mar;48(3):931-932
pubmed: 32710223
QJM. 2015 Nov;108(11):871-8
pubmed: 25660608
Korean J Intern Med. 2016 May;31(3):605-7
pubmed: 26968186
Pulmonology. 2018 Jan - Feb;24(1):61-63
pubmed: 29589584
Clin Nucl Med. 2006 Apr;31(4):197-200
pubmed: 16550010
Clin Radiol. 2009 Jul;64(7):675-81
pubmed: 19520211
Clin Nucl Med. 2019 Nov;44(11):905-906
pubmed: 31584495
Cancer Treat Rev. 1986 Sep;13(3):147-56
pubmed: 3536088

Auteurs

Michael Winkelmann (M)

Department of Radiology, University Hospital, LMU Munich, 81377 Munich, Germany.

Kai Rejeski (K)

Department of Medicine III, University Hospital, LMU Munich, 81377 Munich, Germany.

Marion Subklewe (M)

Department of Medicine III, University Hospital, LMU Munich, 81377 Munich, Germany.

Jens Ricke (J)

Department of Radiology, University Hospital, LMU Munich, 81377 Munich, Germany.

Marcus Unterrainer (M)

Department of Radiology, University Hospital, LMU Munich, 81377 Munich, Germany.

Martina Rudelius (M)

Department of Pathology, University Hospital, LMU Munich, 81377 Munich, Germany.

Wolfgang G Kunz (WG)

Department of Radiology, University Hospital, LMU Munich, 81377 Munich, Germany.

Classifications MeSH