Utility of FDG-PET scanning in lymphoma by WHO classification

Author:

Elstrom Rebecca1,Guan Liang1,Baker Gary1,Nakhoda Khozaim1,Vergilio Jo-Anne1,Zhuang Hongming1,Pitsilos Stephanie1,Bagg Adam1,Downs Lisa1,Mehrotra Amit1,Kim Scott1,Alavi Abass1,Schuster Stephen J.1

Affiliation:

1. From the Abramson Family Cancer Research Institute of the University of Pennsylvania, Philadelphia; and the Departments of Medicine, Nuclear Medicine, and Laboratory Medicine and Pathology, University of Pennsylvania Medical Center, Philadelphia.

Abstract

Abstract We retrospectively evaluated 18fluoro-2-deoxyglucose positron emission tomography (FDG-PET) scans in 172 patients with lymphoma and correlated results with pathologic diagnosis using the World Health Organization (WHO) classification system. In total, FDG-PET detected disease in at least one site in 161 patients (94%) and failed to detect disease in 11 patients (6%). The most frequent lymphoma diagnoses were diffuse large B-cell lymphoma (LBCL; n = 51), Hodgkin lymphoma (HL; n = 47), follicular lymphoma (FL; n = 42), marginal zone lymphoma (MZL; n = 12), mantle cell lymphoma (MCL; n = 7), and peripheral T-cell lymphoma (PTCL; n = 5). FDG-PET detected disease in 100% of patients with LBCL and MCL and in 98% of patients with HL and FL. In contrast, FDG-PET detected disease in only 67% of MZL and 40% of PTCL. Comparison with bone marrow biopsies showed that FDG-PET was not reliable for detection of bone marrow involvement in any lymphoma subtype.

Publisher

American Society of Hematology

Subject

Cell Biology,Hematology,Immunology,Biochemistry

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