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Radiation therapy has made significant progress in the treatment of lymphoma in a 28-year-old patient.
A 28-year-old patient was diagnosed with nodal B-cell lymphoma of the marginal zone with damage to the lymph nodes of the upper floor of the abdominal cavity, stage IB.
The patient applied to the EMC, where, after a discussion at the consultation, he was recommended remote radiation therapy for the lymph nodes of the upper floor of the abdominal cavity using the ISRT technique with simultaneous integrated SIB boost for PET-positive lymph nodes.
PET/CT scan (from 07/09/15) examination before treatment
PET/CT image of a bulky hypermetabolic soft tissue formation at the level of the pancreatic head - histological verification is recommended.
PET/CT image of bulky formations at the level of the pancreatic head with hypermetabolic activity. Enlarged lymph nodes in the parapancreatic tissue with abnormal metabolic activity in one of them (at the level of the pancreatic body, in the area of the bend of the splenic artery).
CT-controlled biopsy (dated 07/10/2015):
The morphological picture, taking into account the data of the clinical examination (PET-CT), and the immunophenotype most closely correspond to nodal B-cell lymphoma of the marginal zone.
PET/CT scan (from 08.12.15) examination before treatment
When compared with the PET/CT study from 07/9/2015, there was a pronounced positive trend in the form of:
- a significant reduction in size by 70% and metabolic activity by 60% in the formation of anterior to the head of the pancreas;
- absence of pathological metabolic activity in the lymph nodes of the parapancreatic fiber;
- replacement of previously determined pathological lymph nodes with fibrosis sites.
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