Document Detail


Clinical Role of FDG PET/CT for Methotrexate-Related Malignant Lymphoma.
MedLine Citation:
PMID:  21637053     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Methotrexate-related malignant lymphoma (MTX-RML) is a type of therapy-related lymphoma, and it often occurs in patients with rheumatoid arthritis. The most distinctive characteristic of MTX-RML is a quick response to withdrawal of MTX. However, because there is a risk of recurrence without a distinctive indicator of disease, close follow-up is needed.We present F-18 2-fluoro-2-deoxyglucose (FDG) postitron emission tomography (PET) or computed tomography (CT) images of MTX-RML along with the characteristic clinical presentation of MTX-RML. FDG PET/CT has the advantage of being able to detect malignant lymphoma in patients who have undergone MTX treatment. After withdrawal of MTX, FDG uptake decreases along with a reduction in the volume of lesions. Although recurrent lesion develops independent to the initial FDG PET/CT findings, FDG PET/CT is useful for early detection of unexpected recurrent lesions.FDG PET/CT allows for the assessment of malignant lymphoma and recurrent lesions in patients who received MTX therapy, which is crucial for the management of MTX-RML.
Authors:
Ryogo Minamimoto; Kimiteru Ito; Kazuo Kubota; Miyako Morooka; Yoko Masuda-Miyata; Risen Hirai; Hideaki Kitahara; Akira Tanimura; Shotaro Hagiwara; Akiyoshi Miwa
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Clinical nuclear medicine     Volume:  36     ISSN:  1536-0229     ISO Abbreviation:  Clin Nucl Med     Publication Date:  2011 Jul 
Date Detail:
Created Date:  2011-06-03     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7611109     Medline TA:  Clin Nucl Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  533-7     Citation Subset:  IM    
Affiliation:
From the *Division of Nuclear Medicine, Department of Radiology, National Center for Global Health and Medicine, Tokyo, Japan; †Department of Radiology, National Center of Neurology and Psychiatry, Tokyo, Japan; ‡Medicheck Imaging Center, Iwai Medical Foundation, Tokyo, Japan; and §Division of Hematology, Internal Medicine, National Center for Global Health and Medicine, Tokyo, Japan.
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