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Secondary Gastrointestinal Amyloidosis With Increased 18F-FDG Uptake as the Only Presentation in a Patient With Multiple Myeloma.

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ABSTRACT A 63-year-old woman presented with abdominal pain and hematochezia was referred for 18F-FDG PET/CT for the underlying malignancy. PET/CT detected diffuse thickening of the bowel walls with intense radioactivity… Click to show full abstract

ABSTRACT A 63-year-old woman presented with abdominal pain and hematochezia was referred for 18F-FDG PET/CT for the underlying malignancy. PET/CT detected diffuse thickening of the bowel walls with intense radioactivity in the colons. She was later diagnosed with multiple myeloma and secondary gastrointestinal amyloidosis, and achieved complete response of myeloma and amyloidosis after 9 cycles of chemotherapy. This case highlighted that gastrointestinal abnormality caused by amyloidosis might be the only presenting symptoms and findings in 18F-FDG PET/CT in patients with multiple myeloma.

Keywords: gastrointestinal amyloidosis; secondary gastrointestinal; 18f fdg; multiple myeloma; amyloidosis

Journal Title: Clinical nuclear medicine
Year Published: 2022

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