Abstract
We report the case of a 31-year-old woman with osseous Hodgkin’s lymphoma who underwent post-therapeutic 18F-fluorodeoxyglucose (18F-FDG) positron emission tomography/computed tomography. The scan revealed a hypermetabolic lesion in the pubic symphysis and iliac crests, initially suggestive of residual disease. Multimodal evaluation, including 99mTc-methoxy-isobutyl-isonitrile scintigraphy, laboratory tests revealed primary hyperparathyroidism, and biopsy confirmed a brown tumor. This case highlights the importance of integrating multimodal imaging and pathology to avoid misinterpretation of 18F-FDG-avid lesions.
Keywords:
Hodgkin’s lymphoma, brown tumor, primary hyperparathyroidism, 18F-FDG PET/CT, 99mTc-MIBI scintigraphy
Ethics
Informed Consent: The informed consent was obtained from the patient.
Authorship Contributions
Concept: D.N., A.M., S.M., I.G., H.G., Design: D.N., A.M., S.M., I.G., H.G., Data Collection or Processing: D.N., Analysis or Interpretation: D.N., A.M., H.G., Literature Search: D.N., Writing: D.N.
Conflict of Interest: No conflicts of interest were declared by the authors.
Financial Disclosure: The authors declare that this study has received no financial support.
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