Lymphoma Causing Gastrosplenic Fistula Revealed by FDG PET/CT.

Clin Nucl Med

From the Departments of *Medical Oncology, †Diagnostic Imaging, ‡Medicine, and §Surgery, Fox Chase Cancer Center, Philadelphia, PA.

Published: November 2017

AI Article Synopsis

  • A 73-year-old man experienced fatigue and weight loss, leading to the discovery of a splenic mass and a potential abscess connecting to his stomach.
  • FDG PET/CT scans confirmed the presence of a gastrosplenic fistula and active lymph nodes in his abdominal region.
  • A biopsy showed he had diffuse large B-cell lymphoma, and after receiving chemotherapy, the fistula resolved without needing surgery.

Article Abstract

A 73-year-old man presented with fatigue and weight loss. He had CT-proven splenic mass with fistulous connection to the greater curvature of the stomach, which suggested abscess. FDG PET/CT confirmed gastrosplenic fistula in addition to active lymph nodes in the gastrohepatic ligament and epigastric region. Pathological examination after the biopsy of the spleen was consistent with diffuse large B-cell lymphoma. Chemotherapy was administered with close clinical follow-up and resulted in the resolution of fistula without requirement for surgery.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7556713PMC
http://dx.doi.org/10.1097/RLU.0000000000001801DOI Listing

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