Utility of F-18 Fluorodeoxyglucose Positron Emission Tomography - Computed Tomography in Primary Thyroid Lymphoma

Indian J Nucl Med. 2022 Oct-Dec;37(4):379-386. doi: 10.4103/ijnm.ijnm_72_22. Epub 2022 Dec 2.

Abstract

Primary thyroid lymphoma (PTL) is an uncommon malignancy. The majority of PTLs are non-Hodgkin's lymphoma. Fluorodeoxyglucose positron emission tomography-computed tomography (FDG PET/CT) is the state-of-the-art imaging in lymphoma and plays a pivotal role in staging, follow-up, and treatment decisions. There is good evidence that it performs well in a wide variety of nodal and extranodal lymphomas (ENL). However, the data are scarce on its usefulness in rare ENL. Herein, we describe four cases of PTLs and a brief review of the literature. FDG PET/CT was performed at baseline to assess the disease status and response to treatment. This case series highlights the varied appearance of PTL and response to treatment. It establishes the importance of FDG PET/CT in the personalized management of PTL.

Keywords: Extranodal lymphoma; fluorodeoxyglucose positron emission tomography-computed tomography; follow-up; non-Hodgkin's lymphoma; primary thyroid lymphoma; staging.

Publication types

  • Review