Extensive Neurolymphomatosis as the Sole Site of Relapse in Mantle Cell Lymphoma.
Futao Cui, Yunyi Liu, Rong Tian et al.
✦ AI-curated · Sources linked
Case in brief
A 60-year-old man with mantle cell lymphoma developed acute neurological symptoms after achieving complete remission. 18F-FDG PET/CT and brain PET/MR showed multiple enlarged spinal roots or nerves with intense FDG uptake. The findings led to a final diagnosis of recurrent mantle cell lymphoma involving the nerves, with neurolymphomatosis as the sole site of relapse.
What made this case unusual
The relapse was confined to extensive neurolymphomatosis, an extremely rare association with mantle cell lymphoma.
Diagnostic / clinical pearl
In a patient with mantle cell lymphoma in remission who develops acute neurological symptoms, nerve or spinal-root enlargement with intense FDG uptake can indicate neurolymphomatosis.