FDG-PET/CT-guided rebiopsy may find clinically unsuspicious transformation of follicular lymphoma
Rajamäki, Aino (University of Eastern Finland)
Kuitunen, H. (Oulu University Hospital (Finlàndia))
Sorigue, Marc (Institut Germans Trias i Pujol. Institut de Recerca contra la Leucèmia Josep Carreras)
Kokkonen, S.M. (Oulu University Hospital (Finlàndia))
Kuittinen, O. (Kuopio University Hospital ( Finlàndia))
Sunela, K. (Tampere University Hospital)
Universitat Autònoma de Barcelona.
Departament de Medicina
Date: |
2022 |
Abstract: |
Aim: The purpose of the study was to evaluate the clinical impact of fluorodeoxyglucose-positron emission tomography/computed tomography (FDG-PET/CT) followed by a new biopsy from the site with maximum standardized uptake value (SUVmax) in case of high maximal SUV values, in detecting clinically unsuspected histologic transformations (HT) of follicular lymphoma (FL). Methods: This retrospective study included all the patients who had undergone FDG-PET/CT during primary diagnosis or relapse of FL between 2010 and 2020 at Oulu University Hospital. Results: The diagnosis changed from an indolent disease to a transformed lymphoma in >10% (7/63) of the patients who underwent diagnostic FDG-PET/CT. The HT risk associated with high SUVmax (>10) was 24% (7 of 29 performed biopsies). Four out of these seven patients with verified HT had no previous clinical suspicion of transformation. Conclusion: Our results suggest that a rebiopsy based on a high SUVmax in diagnostic FDG-PET/CT is valuable in detecting clinically unsuspected HT of FL. |
Rights: |
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Language: |
Anglès |
Document: |
Article ; recerca ; Versió publicada |
Published in: |
Cancer Medicine, 2022 , ISSN 2045-7634 |
DOI: 10.1002/cam4.4924
PMID: 35661431
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Record created 2023-01-17, last modified 2023-09-29