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“Everything that Glows on PET is not Lymphoma”: An Unheralded Intruder in a Case of Diffuse Large B Cell Lymphoma

  • Aditya Jandial
  • Uma Nahar Saikia
  • Kundan Mishra
  • Mayur Parkhi
  • Yogendra Kumar
  • Rajender Kumar Basher
  • Gaurav Prakash
  • Pankaj Malhotra
  • Subhash Varma
Correspondence
  • 37 Downloads

Dear editor,

Patients of diffuse large B cell lymphoma (DLBCL) with low (0–1) international prognostic score (IPI) has an expected 5 years survival of 73% [1]. RCHOP remains the standard first line chemotherapy. Infections during and after chemotherapy is often encountered and more so in developing countries. However, isolated muscle cysticercosis is an unusual infection and moreover, FDG avid mass like presentation of cysticercosis is extremely rare. The index case was a prototype of low risk (IPI-0) DLBCL who responded and became asymptomatic with chemotherapy. However, an unexpected and unusual presentation of cysticercosis kept everybody guessing.

A 36-year-old gentleman presented with the complaints of low grade fever, weight loss and left cervical lymphadenopathy for 1-month duration. Left cervical lymph node excision biopsy was suggestive of diffuse large B cell lymphoma confirmed by immunohistochemistry. On further evaluation, he was found to have Ann Arbor stage IB disease on...

Notes

Compliance with Ethical Standards

Conflict of interest

There is no conflict of interest between the authors.

Informed Consent

Informed signed written consent was taken from the patient involved.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Human and Animals Rights

No animals were involved in the study.

References

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    International Non-Hodgkin’s Lymphoma Prognostic Factors Project (1993) A predictive model for aggressive Non-Hodgkin’s lymphoma. N Engl J Med 329(14):987–994CrossRefGoogle Scholar
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    Ramraje S, Bhatia V, Goel A (2011) Solitary intramuscular cysticercosis—a report of two cases. Australas Med J 4(1):58–60CrossRefPubMedPubMedCentralGoogle Scholar
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    Chaudhari P, Butala RR, Dhar S, Arora M (2014) A rare case of isolated cysticercosis of the biceps brachii muscle: a diagnostic dilemma. J Rheumatol Orthop 1:3CrossRefGoogle Scholar
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    Jiang L, Tong H, Tan H, Han L, Shi H (2014) Intestinal pork tapeworm disease mimicking lymphoma on PET/CT imaging. Clin Nucl Med 39(9):842–844CrossRefPubMedGoogle Scholar

Copyright information

© Indian Society of Hematology and Blood Transfusion 2017

Authors and Affiliations

  • Aditya Jandial
    • 1
  • Uma Nahar Saikia
    • 2
  • Kundan Mishra
    • 1
  • Mayur Parkhi
    • 2
  • Yogendra Kumar
    • 1
  • Rajender Kumar Basher
    • 3
  • Gaurav Prakash
    • 1
  • Pankaj Malhotra
    • 1
  • Subhash Varma
    • 1
  1. 1.Department of Internal MedicinePostgraduate Institute of Medical Education and ResearchChandigarhIndia
  2. 2.Department of HistopathologyPostgraduate Institute of Medical Education and ResearchChandigarhIndia
  3. 3.Department of Nuclear MedicinePostgraduate Institute of Medical Education and ResearchChandigarhIndia

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