scholarly journals AML with Renal Infiltration Manifesting as Acute Renal Failure, Diagnosed with FDG-PET CT Scan: Case Report

2021 ◽  
Vol 8 (10) ◽  
Author(s):  
Chauhan P ◽  
◽  
Gupta A ◽  
Ora M ◽  
Agrawal S ◽  
...  

Extramedullary disease in acute myeloid leukemia is a known phenomenon with reported incidence of 2.5-9.1 %. However, acute kidney injury due to direct infiltration of malignant cells is reported in only 1% cases of acute leukemia. We report a case of acute myeloid leukemia who developed acute kidney failure at presentation, was diagnosed with renal and pancreatic infiltration by FDG-PET scan and was treated successfully with hypomethylating agent and venetoclax. PET-CT scan can be a non-invasive modality for diagnosing extramedullary disease in acute myeloid leukemia and monitoring of response to therapy in these cases. Early initiation of anti-leukemia therapy in our case lead to complete metabolic response with normalization of the renal functions.

2016 ◽  
Vol 41 (3) ◽  
pp. e137-e140 ◽  
Author(s):  
Saeed Elojeimy ◽  
A. Luana Stanescu ◽  
Marguerite T. Parisi

Haematologica ◽  
2011 ◽  
Vol 96 (10) ◽  
pp. 1552-1556 ◽  
Author(s):  
F. Stolzel ◽  
C. Rollig ◽  
J. Radke ◽  
B. Mohr ◽  
U. Platzbecker ◽  
...  

2013 ◽  
Vol 90 (4) ◽  
pp. 273-278 ◽  
Author(s):  
Anne-Sofie Weindel Ibar Cribe ◽  
Maria Steenhof ◽  
Claus Werenberg Marcher ◽  
Henrik Petersen ◽  
Henrik Frederiksen ◽  
...  

2014 ◽  
Vol 39 (2) ◽  
pp. e173-e175 ◽  
Author(s):  
Hongyun June Zhu ◽  
Lindsey N. Clark ◽  
Linda A. Deloney ◽  
James E. McDonald

Author(s):  
Laura Valerio ◽  
Federica Guidoccio ◽  
Carlotta Giani ◽  
Elisa Tardelli ◽  
Giulia Puccini ◽  
...  

Abstract Introduction [18F]-FDG-PET/CT positive metastatic lesions in radioiodine-refractory differentiated thyroid cancer (RAI-R DTC) have a poor prognosis and lenvatinib represents the best therapy. We investigated the role of [ 18F]-FDG-PET/CT in the evaluation of metabolic response and prediction of the outcome of RAI-R DTC patients treated with lenvatinib. Materials and Methods Thirty-three progressive metastatic RAI-R DTC patients treated with lenvatinib were investigated at baseline and during follow-up with biochemical (Tg/TgAb), morphological (whole-body CT scan) and metabolic evaluation ([ 18F]-FDG-PET/CT). Results Nineteen of thirty-three (57.6%) patients showed the greatest metabolic response at the first [ 18F]-FDG-PET/CT scan, performed after 4 weeks of lenvatinib, while 5/33 (15.1%) patients had this response later. Moreover, 66.7% of patients had both a metabolic response at the first [ 18F]-FDG-PET/CT scan and a morphological response at the first CT scan. We observed a correlation between the metabolic response at [ 18F]-FDG-PET/CT scan performed after 4 weeks of treatment and the biochemical response at the same time in 60.6% of patients. The median overall survival (OS) was significantly longer in patients with either a metabolic response at last [ 18F]-FDG-PET/CT (40.00 vs 8.98 months) or a morphological response at last CT scan (37.22 vs 9.53 months) than in those without response. Moreover, the OS was longer in patients with a metabolic response at [ 18F]-FDG-PET/CT performed after 4 weeks of treatment (36.53 vs 11.28 months). Conclusions Our data show that [ 18F]-FDG-PET/CT can early predict the response to lenvatinib and correlates with the OS of RAI-R DTC patients treated with this drug.


2009 ◽  
Vol 34 (10) ◽  
pp. 713-715 ◽  
Author(s):  
Christian von Falck ◽  
Florian Laenger ◽  
Wolfram H. Knapp ◽  
Michael Galanski

Cancers ◽  
2021 ◽  
Vol 13 (11) ◽  
pp. 2616
Author(s):  
Timo E. Schank ◽  
Andrea Forschner ◽  
Michael Max Sachse ◽  
Antonia Dimitrakopoulou-Strauss ◽  
Christos Sachpekidis ◽  
...  

Checkpoint inhibitors have revolutionized the treatment of patients with metastasized melanoma. However, it remains unclear when to stop treatment. We retrospectively analyzed 45 patients (median age 64 years; 58% male) with metastasized melanoma from 3 cancer centers that received checkpoint inhibitors and discontinued therapy due to either immune-related adverse events or patient decision after an (18F)2-fluoro-2-deoxy-D-glucose positron emission tomography (FDG-PET) combined with a low-dose CT scan (FDG-PET-CT) scan without signs for disease progression. After a median of 21 (range 1–42) months of immunotherapy an FDG-PET-CT scan was performed to evaluate disease activity. In these, 32 patients (71%) showed a complete metabolic response (CMR) and 13 were classified as non-CMR. After a median follow-up of 34 (range 1–70) months, 3/32 (9%) of CMR patients and 6/13 (46%) of non-CMR patients had progressed (p = 0.007). Progression-free survival (PFS), as estimated from the date of last drug administration, was significantly longer among CMR patients than non-CMR (log-rank: p = 0.001; hazard ratio: 0.127; 95% CI: 0.032–0.511). Two-year PFS was 94% among CMR patients and 62% among non-CMR patients. Univariable Cox regression showed that metabolic response was the only parameter which predicted PFS (p = 0.004). Multivariate analysis revealed that metabolic response predicted disease progression (p = 0.008). In conclusion, our findings suggest that patients with CMR in an FDG-PET-CT scan may have a favorable outcome even if checkpoint inhibition is discontinued.


2009 ◽  
Vol 34 (6) ◽  
pp. 365-366 ◽  
Author(s):  
Sonali Rao ◽  
Amelia Langston ◽  
James R. Galt ◽  
Raghuveer K. Halkar

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