18F-FDG PET/CT Findings in a Patient With Neutrophilic Leukemoid Reaction Associated With Multiple Myeloma

被引：3
|
作者：
An, Caixia [1 ]
Zhai, Luoping [1 ]
Geng, Huixia [1 ]
Wang, Pingzhi [2 ]
Zhang, Wanchun [1 ]
机构：
[1] Shanxi Acad Med Sci, Dept Nucl Med, Shanxi Bethune Hosp, Long Cheng St 99, Taiyuan 030032, Shanxi, Peoples R China
[2] Shanxi Acad Med Sci, Dept Rehabil, Shanxi Bethune Hosp, Taiyuan, Shanxi, Peoples R China
来源：
CLINICAL NUCLEAR MEDICINE | 2020年 / 45卷 / 05期
关键词：
F-18-FDG; multiple myeloma; neutrophilic leukemoid reaction; PET; CT; superscan; COLONY-STIMULATING FACTOR; POSITRON-EMISSION-TOMOGRAPHY; BONE-MARROW; SUPER SCAN; FDG; LUNG; CARCINOMA;
D O I：
10.1097/RLU.0000000000002999
中图分类号：
R8 [特种医学]; R445 [影像诊断学];
学科分类号：
1002 ; 100207 ; 1009 ;
摘要：
F-18-FDG PET/CT was performed on a 48-year-old woman with leukocytosis (white blood cell count 57.10 x 10(9)/L, 84.0% neutrophils) and monoclonal gammopathy to investigate the possibility of reactive neutrophilia secondary to plasmacytoma. On the background of skeletal "superscan," the maximum intensity projection image of PET demonstrated the highest metabolic region in the left sacrum, which was confirmed as an osteolytic lesion by CT. Biopsy of the sacral lesion revealed a plasma cell myeloma, indicating the diagnosis of neutrophilic leukemoid reaction associated with multiple myeloma. The white blood cell counts dramatically dropped to the normal level after 1 cycle of chemotherapy for multiple myeloma.
引用
收藏
页码：405 / 406
页数：2
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