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Fig. 2 | Cancer Imaging

Fig. 2

From: The role of initial 18F-FDG PET/CT in the management of patients with suspected extramedullary plasmocytoma

Fig. 2

Case 8, a 36-year-old woman presented with nasal obstruction for three months, in whom the nasal endoscope showed the plasmacytoma in the left nasal cavity. Without evidence of systemic spread according to other clinical examination, suspicion of primary EMP of nasal cavity was made. 18F-FDG PET/CT was performed for further evaluation. CT (b), PET (c) and fused PET/CT (d) images showed 18F-FDG uptake in EMP of the nasal cavity. Another osteolytic lesion in the left pubis was identified by PET/CT (a, e-g). A biopsy of the pubis lesion was performed, which showed neoplastic-appearing plasma cells involved in the bone. Due to detection of new lesions in the bone, more invasive therapy was given, including enlarged field irradiation and systemic therapy, instead of resection of nasal plasmacytoma combined with RT alone

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