Table of Contents Author Guidelines Submit a Manuscript
Case Reports in Medicine
Volume 2013 (2013), Article ID 594704, 3 pages
http://dx.doi.org/10.1155/2013/594704
Case Report

Whole-Body 18FDG-PET in an Arthritis Paraneoplastic Syndrome Revealed an Underlying Hematological Neoplasm

1Service de Médecine Nucléaire, AP-HM, Faculté de Médecine de Marseille, Hôpital La Timone, Aix-Marseille University, 27 Boulevard Jean Moulin, 13005 Marseille, France
2Service de Rhumatologie, AP-HM, Faculté de Médecine de Marseille, Hôpital Sainte Marguerite, Aix-Marseille University, 27 Boulevard Jean Moulin, 13005 Marseille, France
3Service de Rhumatologie 1, Hôpital de Sainte Marguerite, 270 Bd de Sainte Marguerite, 13009 Marseille, France

Received 16 March 2013; Revised 27 April 2013; Accepted 19 May 2013

Academic Editor: Larry W. Moreland

Copyright © 2013 Serge Cammilleri et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

We showed the first image of 18FDG-PET, which leads to a diagnosis of lymphoma in an atypical polyarthritis. About 4% of patients with lymphoma or leukemia suffered from rheumatologic paraneoplastic symptoms like arthralgia and about 10% of the patients with rheumatologic or neurologic clinical symptoms develop a solid cancer or hematological neoplasm. 18FDG-PET is an interesting exam to identify an underlying malignancy when a paraneoplastic syndrome is suspected; it can detect the primitive lesion and/or the metastasis lesions. The use of the 18FDG-PET can help to detect earlier hematological neoplasm in cases of paraneoplastic syndrome without a determined cause and to treat more rapidly and specifically the patient.