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Indian Journal of Cancer
Medknow Publications on behalf of Indian Cancer Society
ISSN: 0019-509X
EISSN: 1998-4774
Vol. 46, No. 3, 2009, pp. 237-239
Bioline Code: cn09051
Full paper language: English
Document type: Case Report
Document available free of charge

Indian Journal of Cancer, Vol. 46, No. 3, 2009, pp. 237-239

 en Positron emission tomography / computerized tomography evaluation of primary Hodgkin's disease of liver
Gota, VS; Purandare, NC; Gujral, S; Shah, S; Nair, R & Rangarajan, V

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.

Keywords
Hodgkin′s lymphoma, primary hepatic lymphoma, positron emission tomography / computerized tomography

 
© Copyright 2009 Indian Journal of Cancer.
Alternative site location: http://www.indianjcancer.com/

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