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Impact of 18F-fluorodeoxyglucose positron emission tomography/computed tomography staging in newly diagnosed classical Hodgkin lymphoma: fewer cases with stage I disease and more with skeletal involvement.
[hodgkin lymphoma, classical]
(
18
)
F-Fluorodeoxyglucose
positron
emission
tomography
/
computed
tomography
(
PET
/
CT
)
is
a
highly
accurate
staging
method
in
classical
Hodgkin
lymphoma
(
cHL
)
.
We
retrospectively
compared
the
staging
results
obtained
in
two
large
cohorts
of
patients
with
cHL
diagnosed
before
(
n
=
324
)
and
after
(
n
=
406
)
the
introduction
of
PET
/
CT
staging
in
a
retrospective
study
.
In
PET
/
CT
staged
patients
,
stage
I
disease
was
less
frequent
(
16
%
vs
.
27
%
,
p
<
0
.
001
)
while
stage
IV
disease
was
more
frequent
(
17
%
vs
.
10
%
,
p
=
0
.
02
)
.
Imaging-detected
skeletal
involvement
was
recognized
more
often
in
PET
/
CT
staged
patients
(
17
%
vs
.
2
%
,
p
<
0
.
001
)
,
and
the
presence
of
focal
skeletal
PET
/
CT
lesions
was
associated
with
higher
risk
of
progression
(
hazard
ratio
[
HR
]
1
.
96
,
95
%
confidence
interval
[
CI
]
:
1
.
14
-
3
.
36
)
.
The
German
Hodgkin
Study
Group
(
GHSG
)
risk
classification
(
early
,
intermediate
,
advanced
disease
)
predicted
outcome
in
PET
/
CT
staged
patients
.
In
conclusion
,
PET
/
CT
led
to
higher
disease
stages
,
and
the
more
frequently
diagnosed
skeletal
lesions
may
be
an
adverse
prognostic
factor
.
Diseases
Validation
Diseases presenting
"hodgkin lymphoma"
symptom
esophageal adenocarcinoma
hodgkin lymphoma, classical
monosomy 21
primary effusion lymphoma
severe combined immunodeficiency
systemic capillary leak syndrome
waldenström macroglobulinemia
This symptom has already been validated