Case Report: Use of PET/CT to Guide Treatment in a Cat With Presentation Consistent With Hodgkin's-Like Lymphoma

  • Carolyn L. Chen
  • , Matthew R. Cook
  • , Megan E. Brown
  • , Sarah Lumbrezer-Johnson
  • , Eric T. Hostnik
  • , Janis M. Lapsley
  • , Phillip Lerche
  • , Vincent A. Wavreille
  • , Maria I. Menendez
  • , Michael V. Knopp
  • , Sarah C. Linn
  • , Christopher Premanandan
  • , Laura E. Selmic

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

An 8-year-old male neutered Domestic Long Hair cat was presented for a cervical swelling that was suspected to be an enlarged left retropharyngeal lymph node. In the absence of other lymphadenopathy, this was initially suspected to be Hodgkin's-like lymphoma. A positron emission tomography–computed tomography (PET/CT) scan was performed using 2-deoxy-2-[18F]-fluorodeoxyglucose (18F-FDG) to assess for evidence of disease in other locations to guide treatment. Multifocal increased radiopharmaceutical uptake was identified, indicating disease in multiple organs. High-grade lymphoma was confirmed on tissue biopsy. As such, systemic cytotoxic chemotherapy was recommended instead of lymph node extirpation surgery. The cat received a modified CHOP chemotherapy protocol and attained a temporary partial remission. After 2 months of treatment, the cat stopped responding to chemotherapy and was eventually euthanized due to a relapse of disease and decreased quality of life. This case describes the utility of PET/CT to guide treatment in a cat with a presentation consistent with Hodgkin's-like lymphoma.

Original languageEnglish
Article number619264
JournalFrontiers in Veterinary Science
Volume8
DOIs
StatePublished - Apr 29 2021

Keywords

  • Hodgkin's
  • PET/CT
  • chemotherapy
  • fluorodeoxiglucose F18
  • lymphadenopathy
  • lymphoma

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