Certain clinical and imaging findings can identify a liver that is involved by malignant lymphoma. The criteria were developed at the 12th International Conference (2013) for Malignant Lymphoma in Lugano, Switzerland.
Patient selection: malignant lymphoma, Hodgkin's or non-Hodgkin's disease
Parameters:
(1) findings on physical examination
(2) findings on appropriate imaging study
If the lymphoma shows FDG ([18F]-fluorodeoxyglucose) avidity (based on histology) then PET-CT imaging is performed, else CT.
Criteria for hepatic involvement:
(1) palpable liver
(2) positive imaging findings
Findings on PET-CT Scan
Findings on CT Scan
diffuse FDG uptake
solitary mass
solitary mass
nodules
nodules
The diagnostic certainty increases if other causes of hepatic enlargement or increased FDG uptake are excluded.
To read more or access our algorithms and calculators, please log in or register.
