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Lymphoma Causing Gastrosplenic Fistula Revealed by FDG PET/CT
Trent P Wang1, Mohan Doss, Jeffrey L Tokar
1From the Departments of *Medical Oncology, †Diagnostic Imaging, ‡Medicine, and §Surgery, Fox Chase Cancer Center, Philadelphia, PA.
Abstract:
A 73-year-old man presented with fatigue and weight loss. He had CT-proven splenic mass with fistulous connection to the greater curvature of the stomach, which suggested abscess. FDG PET/CT confirmed gastrosplenic fistula in addition to active lymph nodes in the gastrohepatic ligament and epigastric region. Pathological examination after the biopsy of the spleen was consistent with diffuse large B-cell lymphoma. Chemotherapy was administered with close clinical follow-up and resulted in the resolution of fistula without requirement for surgery.
