FDG uptake in a catheter-related thrombus simulating relapse of lymphoma

Clin Nucl Med. 2005 May;30(5):338-9. doi: 10.1097/01.rlu.0000159680.66566.b7.

Abstract

FDG-PET imaging was performed because of suspected recurrence of lymphoma of the chest. There was an area of increased activity posterior to the left sternoclavicular joint, suspected of being a relapse. Workup showed a thrombus at the tip of a central venous line corresponding to the FDG uptake. This is explained by the inflammatory process involving and surrounding chronic thrombus. Focal activity in relation to the tip of a venous catheter is very likely to have a benign etiology. It is important to recognize this not to overdiagnose a malignancy. For a correct interpretation, it is necessary to know the patient's history and having access to current radiologic examinations.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Catheterization / adverse effects*
  • Diagnosis, Differential
  • Fluorodeoxyglucose F18 / pharmacokinetics*
  • Humans
  • Lymphoma / diagnostic imaging*
  • Lymphoma / metabolism*
  • Male
  • Neoplasm Recurrence, Local / diagnostic imaging*
  • Positron-Emission Tomography / methods
  • Radiopharmaceuticals / pharmacokinetics
  • Venous Thrombosis / diagnostic imaging*
  • Venous Thrombosis / etiology*

Substances

  • Radiopharmaceuticals
  • Fluorodeoxyglucose F18