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Non-Hodgkin's lymphoma with pelvic skeletal muscle involvement presenting as low back ache: An uncommon presentation of a rather common malignancy
Author(s) -
John Ar,
Gaurav Pratap Singh Gahlot,
Brajesh K. Singh,
Anurag Jain,
Abhishek Mahato,
MJ Jacob
Publication year - 2017
Publication title -
indian journal of nuclear medicine (online)
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.261
H-Index - 13
eISSN - 0972-3919
pISSN - 0974-0244
DOI - 10.4103/ijnm.ijnm_54_17
Subject(s) - medicine , lymphoma , malignancy , presentation (obstetrics) , histopathology , differential diagnosis , pathology , diffuse large b cell lymphoma , skeletal muscle , positron emission tomography , radiology , anatomy
Lymphoma with skeletal muscle involvement is a rare clinical presentation. They may occur as primary skeletal muscle lymphoma, contiguous spread from bones or by metastatic spread. We present a rare case of non-Hodgkin's lymphoma with pelvic skeletal muscle involvement presenting as low back ache. Lymphoma as the first differential diagnosis in this case was clinched after an 18 F-fluorodeoxyglucose positron emission tomography (FDG-PET) and confirmed as diffuse large B-cell lymphoma on histopathology. We seek to present an uncommon manifestation of lymphoma and highlight the role of 18 F-FDG PET CT in the diagnosis, staging, and management of lymphoma.

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