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Keimyung Medical Journal 2015;34(1):14-18.
Published online June 30, 2015.
Cervical Nerve Root Neurolymphomatosis Detected on F-18 FDG PET/CT.
Hae Won Kim
Department of Nuclear Medicine, Keimyung University School of Medicine, Daegu, Korea. hwkim.nm@gmail.com
Abstract
A 65-year-old woman was treated with chemotherapy for diffuse large B-cell lymphoma (DLBCL) after presenting with sharp pain of the left arm. She had complete remission of the DLBCL, and symptoms disappeared. One year after treatment, she developed sharp pain in the first through third fingers that extended to the left arm. F-18 FDG PET/CT showed linear increased FDG uptake along the cervical nerve roots and plexus at the C4-C7 levels, suggesting neurolymphomatosis. Gadolinium-enhanced MRI showed enhancement and enlargement of the cervical nerve root and plexus. Fine needle aspiration biopsy of the left cervical nerve confirmed DLBCL.
Key Words: Cervical nerve, FDG, Lymphoma, Neurolymphomatosis, PET
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