[問題] 何杰金氏淋巴瘤 期中正子攝影報告
已經做了六次的化療，並做了期中的正子攝影
可以幫我先看看病理報告嗎？ 之後就要回診了，好緊張
PROCEDURE for FDG Before whole body survey, the patient was required to fast
for at least 4 hours. Blood sugar level was measured 88 mg/dl. Then, 9.32 mCi
of 18F-FDG was injected intravenously. The patient was put into the scanner
in the ”arm-up” position, and the scan from vertex to mid thighs was
performed at 68 min. There was no immediately complication during the
procedure. The scan was adequate for interpretation.
** SCAN FINDINGS
The level and distribution of radioactivity for lymphoma response:
1. Nodal regions Head/neck: no more enlarged node (score 0) Axilla: (score 0)
Thorax: no more enlarged node (score 0) Abdomen/pelvis: (score 0)
2. Extranodal/organ involvement: Lungs (SUV 4.1, score 2)
3. other pertinent findings: Upper right back muscles (score 1) Bilateral rib
fractures (score 1) Impression: Hodgkin lymphoma initial stage IV with lung
involvement post 3 chemotherapy cycles, tiny focal uptake at LUL residual lung
opacity, could be residual disease or post-treatment inflammation. Other
lesions all distinguished, overall good metabolic response. * Deauville score:
2-3 (note that the timing is not at 2 cycles)
Comment:
1. FDG-PET scan might result in a false negative
finding if tumor size below 0.6 cm or tumors not FDG-avid.
2. Score 0 = normal; Score 1 = benign lesion; Score 2 = equivocal lesion;
Score 3 = possible malignancy; Score 4 = high probability of malignancy
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