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F-FDG PET/CT imaging findings in anaplastic large cell lymphoma, a rare subtype of lymphoma. | LitMetric

F-FDG PET/CT imaging findings in anaplastic large cell lymphoma, a rare subtype of lymphoma.

Cancer Imaging

Nanfang PET Center, Nanfang Hospital, Southern Medical University, 1838 Guangzhou Avenue North, Guangzhou, 510515, Guangdong Province, China.

Published: January 2020

AI Article Synopsis

  • The study aimed to investigate the PET/CT imaging characteristics of anaplastic large cell lymphoma (ALCL), a rare type of lymphoma, by analyzing data from 50 patients, including those with different ALK status.
  • Results showed that ALCL tumors were F-FDG-avid with similar imaging features to diffuse large B cell lymphoma (DLBCL), but there were significant differences in extranodal involvement between ALK-positive and ALK-negative cases.
  • The findings highlight that ALCL is a systemic lymphoma influenced by ALK expression, affecting both F-FDG uptake and distribution of the disease, which can help in better understanding its biological behavior.

Article Abstract

Objective: To investigate the F-FDG PET/CT imaging manifestations for anaplastic large cell lymphoma (ALCL), a rare subtype of T/NK cell lymphoma.

Methods: Fifty patients with ALCL, including 32 anaplastic lymphoma kinase (ALK)-positive patients and 18 ALK-negative patients, were enrolled. The positive detection, maximal standardized uptake value (SUV), and distribution of nodal and extranodal involvement were recorded and analysed. Fifty patients with diffuse large B cell lymphoma (DLBCL) were collected as a control group.

Results: ALCL lesions were demonstrated to be F-FDG-avid tumours with a mean SUVmax of 19.4 ± 12.6. Most (76%) ALCL patients presented with stage III-IV disease, and nodal and extranodal involvement occurred in 74.0 and 72.0% of the patients, respectively. ALCL and DLBCL showed many similarities in tumour stage, F-FDG uptake and tumour involvement (P > 0.05), although the preferred extranodal organs of involvement (bone and the gastrointestinal tract, respectively) were different (P < 0.05). Compared to ALK-negative lesions, a higher uptake of F-FDG was found in the ALK-positive lesions (SUVmax: 22.1 ± 14.3 vs. 15.1 ± 6.6, t = 2.354, P = 0.023). ALK-positive ALCL was more likely to involve the lymph nodes than ALK-negative ALCL (84.3% vs. 55.5%, χ = 4.973, P = 0.043), while ALK-negative ALCL was more prone to involve the extranodal organs compared to ALK-positive ALCL (88.9% vs. 62.5%, χ = 3.979, P = 0.046).

Conclusion: The present study demonstrated that ALCL is a systemic F-FDG-avid lymphoma with many imaging manifestations similar to DLBCL on PET/CT. The present study also showed that ALK expression actually influenced tumour F-FDG uptake and lesion distribution. These findings may be useful to improve the understanding of the biological characteristics of ALCL.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6954597PMC
http://dx.doi.org/10.1186/s40644-019-0278-5DOI Listing

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