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A 48-year-old female presented with a pathological fracture of the right femur. 99m Tc methylene diphosphonate bone scan revealed multiple areas of increased osteoblastic activity consistent with metastatic disease. Serum electrophoresis revealed monoclonal gammopathy. 18 F-fluorodeoxyglucose positron emission tomography/computed tomography ( 18 F-FDG PET/CT) scan revealed metabolically active lesions in bulky uterine cervix and osteolytic skeletal lesions. Unusual pattern of FDG uptake in uterine cervix and osteolytic skeletal lesions warranted a biopsy of the uterine cervix which revealed diffuse large B-cell lymphoma. 18 F-FDG PET/CT scan helped in guiding the site of biopsy to reach a final diagnosis in this unusual case of lymphoma with a secondary involvement of uterine cervix presenting as a pathological fracture.

indian journal of nuclear medicine

<sup>18</sup>F-Fluorodeoxyglucose positron emission tomography/computed tomography scan in an unusual case of lymphoma with secondary involvement of uterine cervix presenting as a pathological fracture

18F-Fluorodeoxyglucose positron emission tomography/computed tomography scan in an unusual case of lymphoma with secondary involvement of uterine cervix presenting as a pathological fracture

¹⁸F-Fluorodeoxyglucose positron emission tomography/computed tomography scan in an unusual case of lymphoma with secondary involvement of uterine cervix presenting as a pathological fracture