Article: article from journal or magazin.
Case report (case report): feedback on an observation with a short commentary.
How useful is PET/CT imaging in the management of post-transplant lymphoproliferative disease after liver transplantation?
American Journal of Transplantation
Publication types: Case Reports ; Journal Article ; Research Support, Non-U.S. Gov'tPublication Status: ppublish
Post-transplant lymphoproliferative disease (PTLD) is a serious and potentially life-threatening complication after solid organ transplantation. Here, we report our first experience with the use of PET/CT (positron emission tomography combined with computed tomogram) for the management of patients with PTLD after liver transplantation. Four patients with histologically proven PTLD were analyzed. Conventional work-up included physical examination and head-to-pelvis CT. PET/CT was used in one patient for initial staging and in all patients for follow-up. PET/CT positive findings underwent biopsy. Information provided by PET/CT resulted in a change of medical management in three of the four patients. Conventional work-up missed residual disease after surgery in one and failed to detect a tumor relapse in another patient. However, one patient disclosed a false positive PET/CT finding in the lungs. In conclusion, PET/CT may be a useful tool for staging and therapy monitoring of PTLD after liver transplantation.
Adolescent, Female, Humans, Liver Transplantation/radiography, Liver Transplantation/radionuclide imaging, Lymphoproliferative Disorders/radiography, Lymphoproliferative Disorders/radionuclide imaging, Middle Aged, Positron-Emission Tomography/methods, Tomography, X-Ray Computed/methods
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