Nucl Med Mol Imaging.  2014 Dec;48(4):313-316. 10.1007/s13139-014-0285-1.

Kimura Disease Simulating Hodgkin's Lymphoma on 18F FDG PET-CT: Report of a Case

Affiliations
  • 1Department of NuclearMedicine, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, No.289, Jianguo Rd., Xindian Dist., New Taipei City 231, Taiwan, Republic of China. shiou-chichemg@tzuchi.com.tw
  • 2Division of Hematology-Oncology, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, No. 289, Jianguo Rd., Xindian Dist., New Taipei City 231, Taiwan, Republic of China.
  • 3School of Medicine, Buddhist Tzu Chi University, Hualien, Taiwan.

Abstract

We report the case of a 16-year-old male patient presenting with several mass lesions on the left side of his neck that had been there for weeks. Whole-body 18F-fluorodeoxyglucose positron emission tomography and computed tomography (18F FDG PET-CT) revealedmultiple focal areas of increased uptake of fluorodeoxyglucose (FDG) on the left side of the neck, left supraclavicular fossa, left axilla, and mediastinum, simulating the imaging findings of Hodgkin's lymphoma. Subsequent incisional biopsy of lymph nodes in the left supraclavicular fossa with histologic examination confirmed the diagnosis of Kimura disease. The differential diagnoses should include Kimura disease when evaluating regional or generalized lymphadenopathy seen on 18F FDG PET-CT because it also may show prominent uptake of FDG.

Keyword

Kimura disease; Lymphadenopathy; Hodgkin's lymphoma; 18F FDGPET-CT

MeSH Terms

Adolescent
Angiolymphoid Hyperplasia with Eosinophilia*
Axilla
Biopsy
Diagnosis
Diagnosis, Differential
Hodgkin Disease*
Humans
Lymph Nodes
Lymphatic Diseases
Male
Mediastinum
Neck
Positron-Emission Tomography
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