Primary Gastric Diffuse Large B-cell Lymphoma with Orbital Involvement: Diagnostic Usefulness of 18F-fluorodeoxyglucose Positron Emission Tomography
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概要
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A 38-year-old man presented to our hospital with abdominal pain and melena. Gastrointestinal endoscopy revealed a large gastric ulcer, and the pathological diagnosis of diffuse large B-cell lymphoma (DLBCL) was made based on immunohistochemical findings. Left diplopia developed soon after commencement of chemotherapy. Despite normal findings from head MRI, orbital involvement in DLBCL was detected with 18F-fluorodeoxyglucose positron emission tomography (FDG-PET). The patient was treated with salvage chemotherapy with success. Treatment analysis using FDG-PET for patients with DLBCL, especially for those with clinical symptoms and negative findings on conventional modalities, may be useful for assessing disease status and adjusting treatments.
著者
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Tanaka Eiji
Department Of Digestion And Cardiovascular Medicine University Of Tokushima
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Akamatsu Taiji
Department Of Endoscopy Shinshu University Hospital
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Ito Toshiro
Department Of Botany Faculty Of Science Kyoto University:department Of Biophysics Faculty Of Science
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Kaneko Yasunori
Department Of Gastroenterology Nagano National Hospital
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Nakazawa Hideyuki
Department Of Agricultural Chemistry The University Of Tokyo
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Takenaka Kazuhiro
Department Of Electronic Engineering Faculty Of Engineering Tohoku University
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Yamada Yuki
Department Of Biotechnology Graduate School Of Engineering Nagoya University
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Sano Kenji
Department Of Applied Chemistry Faculty Of Engineering Toyama University
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Haba Shin
Department Of Gastroenterology Hokkaido University Graduate School Of Medicine
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Iwaya Yugo
Department Of Internal Medicine Gastroenterology Shinshu University School Of Medicine
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Muraki Takashi
Department Of Gastroenterology Shinshu University School Of Medicine
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MATSUDA KENSUKE
Department of Physical Therapy, Fukuoka School of Rehabilitation Sciences, International University of Health and Welfare
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Arakura Norikazu
Department of Endoscopic Examination Center, Shinshu University School of Medicine, Japan
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Arakura Norikazu
Department of Gastroenterology, Shinshu University School of Medicine, Japan
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Yamada Yuki
Department of Gastroenterology, Shinshu University School of Medicine, Japan
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Muraki Takashi
Department of Gastroenterology, Shinshu University School of Medicine, Japan
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Takenaka Kazuhiro
Department of Gastroenterology, Shinshu University School of Medicine, Japan
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Ishida Fumihiro
Department of Biomedical Laboratory Sciences, Shinshu University School of Medicine
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Kaneko Yasunori
Department of Gastroenterology, Shinshu University School of Medicine, Japan
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Ito Toshiro
Department of Hematology, Shinshu University School of Medicine, Japan
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YAMADA Yuki
Department of Applied Chemistry, Faculty of Engineering, Tokai University
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