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Hyoepiglottic Rheumatoid Nodule Mimicking Head and Neck Malignancy on 18 F-FDG PET/CT.

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Opalinski, Ludwig Schmitz, Sandra [UCL] Van Eeckhout, Pascal d'Abadie, Philippe Gheysens, Olivier

A 54-year-old man with a history of tonsillar squamous cell carcinoma treated with chemoradiotherapy and an 18-year history of seropositive rheumatoid arthritis in remission without maintenance therapy presented with right cervical pain and dysphagia for several months. Flexible laryngoscopy did not show any lesion, and MRI revealed a necrotic lesion inside the thyro-hyo-epiglottic space attached to the hyoid bone. 18 F-FDG PET/CT demonstrated a moderately increased metabolic activity of the lesion without any other suspected lesions. Surgical resection was performed, and pathology revealed a necrotizing granuloma compatible with a rheumatoid nodule.

Document type Article de périodique (Journal article)
Publication date 2023
Language Anglais
Journal information "Clinical nuclear medicine" - Vol. 48, no.2, p. e80-e81 (2023)
e-issn 1536-0229
Publication status Soumis
Affiliations UCL - (SLuc) Service d'oto-rhino-laryngologie
UCL - SSS/IREC/MIRO - Pôle d'imagerie moléculaire, radiothérapie et oncologie
MESH Subject Male ; Humans ; Middle Aged ; Positron Emission Tomography Computed Tomography ; Fluorodeoxyglucose F18 ; Carcinoma, Squamous Cell ; Rheumatoid Nodule ; Head and Neck Neoplasms ; Radiopharmaceuticals
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Bibliographic reference Opalinski, Ludwig ; Schmitz, Sandra ; Van Eeckhout, Pascal ; d'Abadie, Philippe ; Gheysens, Olivier. Hyoepiglottic Rheumatoid Nodule Mimicking Head and Neck Malignancy on 18 F-FDG PET/CT.. In: Clinical nuclear medicine, Vol. 48, no.2, p. e80-e81 (2023)
Permanent URL http://hdl.handle.net/2078.1/276950