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Primary Peripheral T-Cell Lymphoma of the Colon Mimics Inflammatory Bowel Disease: A Potential Pitfall With F-18 FDG PET/CT Imaging.
MedLine Citation:
PMID:  21637044     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
We present a case of a woman with ulcerative colitis who was referred for an F-18 FDG PET/CT after a suspicious colonoscopy and biopsy. PET/CT showed multiple elongated foci of intense FDG uptake in the colon, a pattern commonly reported with inflammatory bowel disease; however, the possibility of lymphoma was raised. Reevaluation of the biopsies with immunohistochemistry and molecular studies revealed a peripheral T-cell lymphoma and the patient was treated with a total colectomy. In this case, F-18 FDG PET/CT was very useful in determining the extent of the disease. This case also highlights a potential pitfall whereby the tubular and multifocal appearance of this lymphoma subtype can mimic the appearance of bowel involved by inflammatory bowel disease especially on novel techniques such as PET/CT enterography and PET/CT colonography.
Authors:
Anthony Ciarallo; William Makis; Vilma Derbekyan
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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:  e61-4     Citation Subset:  IM    
Affiliation:
From the *Department of Nuclear Medicine, Royal Victoria Hospital, McGill University, Montreal, Quebec, Canada; and †Department of Nuclear Medicine, Brandon Regional Health Centre, Manitoba, Canada.
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