INTERESTING IMAGE |
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Year : 2019 | Volume
: 34
| Issue : 4 | Page : 341-343 |
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Fluorine-18-fluorodeoxyglucose positron emission tomography/computed tomography in a giant left pectoral muscle plasmacytoma and multiple myeloma case
Nestor Martinez-Amador1, Remedios Quirce1, Isabel MartÍnez-RodrÍguez1, Blanca Lucas-Velázquez1, Cristina Fernández-MartÍnez2, Ignacio Banzo1
1 Department of Nuclear Medicine, Valdecilla University Hospital, Molecular Imaging Group (IDIVAL), University of Cantabria, Santander, Spain 2 Department of Hematology, Valdecilla University Hospital, University of Cantabria, Santander, Spain
Correspondence Address:
Dr. Nestor Martinez-Amador Department of Nuclear Medicine, Marqués de Valdecilla University Hospital, Molecular Imaging Group (IDIVAL), University of Cantabria, Santander Spain
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/ijnm.IJNM_83_19
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Extramedullary plasmacytoma is an unusual manifestation in multiple myeloma (MM). It can present as a solitary bone lesion and/or soft-tissue mass. Plasmacytoma can be presented at any location, but it is more common in the head and neck, usually without systemic involvement. The presence of plasmacytoma in MM is a predictor of rapidly progressive disease. The value of fluorine-18-fluorodeoxyglucose (FDG) positron emission tomography (PET)/computed tomography (PET-FDG) is increasing, in the diagnosis, detection of occult lesions, and therapeutic monitoring. We describe a patient with rapidly-progressive, refractory, left pectoral muscle plasmacytoma and MM. A PET-FDG guided the therapy and allowed to identify the presence of disease relapse.
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