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CASE REPORT
Year : 2020  |  Volume : 19  |  Issue : 3  |  Page : 277-280

Unusual location of recurrent mantle cell lymphoma on fluorodeoxyglucose-positron emission tomography despite complete metabolic resolution of previous sites of disease


1 University of Regensburg, Regensburg, Germany; Department of Molecular Imaging and Therapy, Austin Health, Heidelberg, Victoria, Australia
2 Department of Molecular Imaging and Therapy, Austin Health, Heidelberg, Victoria, Australia
3 Department of Molecular Imaging and Therapy; Department of Radiology, Austin Health, Heidelberg, Victoria; Department of Medicine, University of Melbourne, Melbourne, Australia
4 Department of Molecular Imaging and Therapy, Austin Health, Heidelberg, Victoria; Olivia Newton-John Cancer Research Institute, Austin Health; School of Cancer Medicine, LaTrobe University, Melbourne, Australia

Correspondence Address:
Benjamin M. W. Froitzheim
Am Heiligenhaus 7a, 55122 Mainz, Germany

Dr. Raef R Boktor
Department of Molecular Imaging and Therapy, Austin Health, 145 Studley Road, Heidelberg, Victoria 3084
Australia
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DOI: 10.4103/wjnm.WJNM_65_19

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This case report presents a patient with recurrent pleomorphic mantle cell lymphoma (MCL), which is a relatively rare but aggressive type of lymphoma. A positron emission tomography/computed tomography scan performed to assess treatment response demonstrated a complete metabolic response in the sites of primary disease while also revealing new subcutaneous lesions, which were biopsy-proven recurrent disease. This case illustrates the importance of the different biological behavior of MCL, whereby new sites of metabolically active lesions can represent recurrent disease, even though there is a complete metabolic response at sites of primary disease.


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