Revealing Hidden Nodal Disease: FDG PET/CT Driven Detection of Occult Lymph Node Involvement in Blastic Plasmacytoid Dendritic Cell Neoplasm.
Nivedita Kundu, Jagatti Krishna, Rakesh Kumar et al.
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Case in brief
A 32-year-old man presented with multiple violaceous cutaneous nodules and underwent F-18 FDG PET/CT for staging. The imaging revealed extensive metabolic activity in the skin and previously undetected inguinal and cervical lymph node involvement. Histopathological examination confirmed the diagnosis of blastic plasmacytoid dendritic cell neoplasm (BPDCN). The case underscores the importance of PET/CT in accurately staging this aggressive malignancy.
Diagnostic / clinical pearl
FDG PET/CT is essential for detecting occult lymph node involvement in blastic plasmacytoid dendritic cell neoplasm, enhancing staging accuracy and guiding management.