Case 9



Dr Marina-Portia Anthony / Dr Jingbo Zhang
Clinical notes
A 53 year-old female presented with her first episode of loss of consciousness. Blood tests revealed pancytopaenia and raised calcium and phosphate.
Images
Figure A. Contrast-enhanced axial CT in bone window
Figure B. Axial FDG-PET
Figure C. Axial fused PET-CT

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Findings
Diagnosis
Discussion

References
  1. Adams H. Tzankov A. d'Hondt S. et al. Primary diffuse large B-cell lymphomas of the bone: prognostic relevance of protein expression and clinical factors. Hum Pathol. 2008; 39(9):1323-30.
  2. Fuertes S. Setoain X. López-Guillermo A. et al. The value of positron emission tomography/computed tomography (PET/CT) in the staging of diffuse large B-cell lymphoma. Med Clin (Barc). 2007; 129(18):688-93.
  3. Misgeld E. Wehmeier A. Krömeke O. et al. Primary non-Hodgkin's lymphoma of bone: three cases and a short review of the literature. Ann Hematol. 2003; 82(7):440-3.
  4. Moazzam N. Malik A. Potti A. B-cell lymphoma mimicking multiple myeloma. Leuk Lymphoma. 2002;43(9):1869-73.
  5. Shimada K. Kosugi H. Shimada S. et al. Evaluation of organ involvement in intravascular large B-cell lymphoma by (18)F-fluorodeoxyglucose positron emission tomography. Int J Hematol. 2008; 88(2):149-53.
  6. Takahashi T. Minato M. Tsukuda H. et al. Successful treatment of intravascular large B-cell lymphoma diagnosed by bone marrow biopsy and FDG-PET scan. Internal Medicine. 2008; 47(10):975-9.