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Prostate Lymphoma Complicated With Prostatorectal Fistula and Multifocal Infection After Chemotherapy
Pan-Fu Kao1, Juey-Hong Weng, Pei-Ching Hsiao
1From the *School of Medicine, Chung Shan Medical University, Taichung, Taiwan; †Departments of Nuclear Medicine, ‡Hematology, and §Urology, Chung Shan Medical University Hospital, Taichung, Taiwan.
Abstract:
A 67-year-old man with a biopsy proving prostate diffuse large B-cell lymphoma was referred for an F-FDG PET/CT scan for postchemotherapy treatment monitoring. The FDG PET/CT scan revealed a significant reduction of prostate lymphoma and a prostatorectal fistula formation. The patient developed Klebsiella pneumoniae sepsis, and a follow-up FDG PET/CT 3 months later revealed multifocal lung, bone, and muscle infection. The FDG PET/CT scans of this patient not only demonstrated the effectiveness of chemotherapy for prostate lymphoma but also the complications of a prostatorectal fistula and multiple infectious foci.
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