RT Journal Article
SR Electronic
T1 Central nervous system lymphoma not detectable on single-photon emission CT with thallium 201.
JF American Journal of Neuroradiology
JO Am. J. Neuroradiol.
FD American Society of Neuroradiology
SP 1687
OP 1690
VO 17
IS 9
A1 Fisher, D C
A1 Chason, D P
A1 Mathews, D
A1 Burns, D K
A1 Fleckenstein, J L
YR 1996
UL http://www.ajnr.org/content/17/9/1687.abstract
AB A 33-year-old man with acquired immunodeficiency syndrome had an erosive supraglottic mass visible on CT scans of the neck; biopsy was postponed because of the patient's debilitated condition. Two weeks later, he was admitted with altered mental status; an MR image of the brain obtained at that time showed multiple bilateral mass lesions, the largest of which was 5 cm. Findings on a thallium-201 single-photon emission CT (SPECT) scan of the brain were normal. Ten days later, the patient died and autopsy showed both the neck and the brain lesions to be large-cell lymphoma. This case is counterevidence to the reported 100% sensitivity of thallium-201 brain SPECT for demonstrating lymphoma of the central nervous system.