Abstract |
Occurrence of primary Hodgkin's lymphoma (PHL) of the liver is extremely rare. We report on a case of a 60-year-old male who presented with liver mass and B-symptomatology. Hepatoma or hepatic metastasis from a gastrointestinal primary was initially suspected. Tumor markers like AFP, CEA, Total PSA, and CA-19.9 were within normal limits. Positron Emission Tomography / Computerized Tomography (PET/CT) revealed a large hepatic lesion and a nodal mass in the porta hepatis. A liver biopsy was consistent with Hodgkin's lymphoma. There was complete regression of the hepatic lesion and evidence of shrinkage of the nodal mass following four cycles of chemotherapy. 18F Fluro - de-oxy Glucose (FDG) PET / CT in this case helped in establishing a primary hepatic lymphoma by demonstrating the absence of pathologically hypermetabolic foci in any other nodes or organs. PET / CT scan is a useful adjunct to conventional imaging and histopathology, not only to establish the initial diagnosis, but also to monitor treatment response in PHL.
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Authors | V S Gota, N C Purandare, S Gujral, S Shah, R Nair, V Rangarajan |
Journal | Indian journal of cancer
(Indian J Cancer)
2009 Jul-Sep
Vol. 46
Issue 3
Pg. 237-9
ISSN: 0019-509X [Print] India |
PMID | 19574678
(Publication Type: Case Reports, Journal Article)
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Chemical References |
- Radiopharmaceuticals
- Fluorodeoxyglucose F18
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Topics |
- Antineoplastic Combined Chemotherapy Protocols
(therapeutic use)
- Fluorodeoxyglucose F18
- Hodgkin Disease
(diagnostic imaging, drug therapy, pathology)
- Humans
- Liver Neoplasms
(diagnostic imaging, drug therapy, pathology)
- Male
- Middle Aged
- Positron-Emission Tomography
- Prognosis
- Radiopharmaceuticals
- Tomography, X-Ray Computed
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