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

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–comp...

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Main Authors: 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
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-04-01
Series:Frontiers in Veterinary Science
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fvets.2021.619264/full
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author 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
author_facet 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
author_sort Carolyn L. Chen
collection DOAJ
description 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.
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spelling doaj.art-edac2f3cc9c94541934a893d840b56ee2022-12-21T19:51:21ZengFrontiers Media S.A.Frontiers in Veterinary Science2297-17692021-04-01810.3389/fvets.2021.619264619264Case Report: Use of PET/CT to Guide Treatment in a Cat With Presentation Consistent With Hodgkin's-Like LymphomaCarolyn L. Chen0Matthew R. Cook1Megan E. Brown2Sarah Lumbrezer-Johnson3Eric T. Hostnik4Janis M. Lapsley5Phillip Lerche6Vincent A. Wavreille7Maria I. Menendez8Michael V. Knopp9Sarah C. Linn10Christopher Premanandan11Laura E. Selmic12Veterinary Medical Center, The Ohio State University, Columbus, OH, United StatesVeterinary Medical Center, The Ohio State University, Columbus, OH, United StatesVeterinary Medical Center, The Ohio State University, Columbus, OH, United StatesVeterinary Medical Center, The Ohio State University, Columbus, OH, United StatesVeterinary Medical Center, The Ohio State University, Columbus, OH, United StatesVeterinary Medical Center, The Ohio State University, Columbus, OH, United StatesVeterinary Medical Center, The Ohio State University, Columbus, OH, United StatesDepartment of Surgery, University of Zurich, Zurich, SwitzerlandDepartment of Radiology, The Wright Center of Innovation in Biomedical Imaging, The Ohio State University Wexner Medical Center, Columbus, OH, United StatesDepartment of Radiology, The Wright Center of Innovation in Biomedical Imaging, The Ohio State University Wexner Medical Center, Columbus, OH, United StatesDepartment of Veterinary Biosciences, The Ohio State University, Columbus, OH, United StatesDepartment of Veterinary Biosciences, The Ohio State University, Columbus, OH, United StatesVeterinary Medical Center, The Ohio State University, Columbus, OH, United StatesAn 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.https://www.frontiersin.org/articles/10.3389/fvets.2021.619264/fullHodgkin'slymphomaPET/CTchemotherapyfluorodeoxiglucose F18lymphadenopathy
spellingShingle 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
Case Report: Use of PET/CT to Guide Treatment in a Cat With Presentation Consistent With Hodgkin's-Like Lymphoma
Frontiers in Veterinary Science
Hodgkin's
lymphoma
PET/CT
chemotherapy
fluorodeoxiglucose F18
lymphadenopathy
title Case Report: Use of PET/CT to Guide Treatment in a Cat With Presentation Consistent With Hodgkin's-Like Lymphoma
title_full Case Report: Use of PET/CT to Guide Treatment in a Cat With Presentation Consistent With Hodgkin's-Like Lymphoma
title_fullStr Case Report: Use of PET/CT to Guide Treatment in a Cat With Presentation Consistent With Hodgkin's-Like Lymphoma
title_full_unstemmed Case Report: Use of PET/CT to Guide Treatment in a Cat With Presentation Consistent With Hodgkin's-Like Lymphoma
title_short Case Report: Use of PET/CT to Guide Treatment in a Cat With Presentation Consistent With Hodgkin's-Like Lymphoma
title_sort case report use of pet ct to guide treatment in a cat with presentation consistent with hodgkin s like lymphoma
topic Hodgkin's
lymphoma
PET/CT
chemotherapy
fluorodeoxiglucose F18
lymphadenopathy
url https://www.frontiersin.org/articles/10.3389/fvets.2021.619264/full
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