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Advances in Radiotherapy
            & Nuclear Medicine                                            Symmetrical bilateral extranodal recurrence in FL



            4. Conclusion                                      Consent for publication

            This paper aims to elucidate an unusual instance of   The patient included in this research gave written and
            skeletal muscle recurrence in a patient with a history of   informed consent to publish the data contained within this
            FL. It underscores the importance of radiologist vigilance   study.
            in identifying unexpected, inconspicuous lesions,
            emphasizing that some uncommon lesions may lack    Availability of data
            contrast  enhancement.  A  precise  clinical  classification   Not applicable.
            and comprehensive medical  history  are imperative  for
            discerning the necessity of additional scans.      References
              The combination of PET with  F-FDG and CT has    1.   Freedman A. Follicular lymphoma: 2018 update on diagnosis
                                         18
            become a crucial imaging modality for identifying or   and management. Am. J. Hematol. 2018;93(2):296-305.
            predicting high-grade transformation and/or selecting      doi: 10.1002/ajh.24937
            optimal biopsy sites. In this patient,   18 F-FDG PET/
            CT successfully detected and localized a rare FL site,   2.   Swerdlow SH, Campo E, Pileri SA, et al. The 2016 revision
                                                                  of the world health organization classification of lymphoid
            underscoring the utility of hybrid machines like PET/CT in   neoplasms. Blood. 2016;127(20):2375-2390.
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            CT in response assessment. Recent research suggests that   5.   Alamdari A, Naderi N, Peiman S, Shahi F. Non-Hodgkin
            PET holds promise as the gold standard imaging modality   lymphoma with primary involvement of skeletal muscle. Int
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            Acknowledgments                                       1997;80(12):2311-2320.
                                                               7.   Cheson BD, Fisher RI, Barrington SF, et al. Recommendations
            None.                                                 for initial evaluation, staging, and response assessment

            Funding                                               of hodgkin and non-hodgkin lymphoma: The lugano
                                                                  classification. J Clin Oncol. 2014;32(27):3059-3068.
            None.                                                 doi: 10.1200/JCO.2013.54.8800
            Conflict of interest                               8.   Surov A. Imaging findings of skeletal muscle lymphoma.
                                                                  Clin Imaging. 2014;38(5):594-598.
            The authors declare that they have no competing interests.
                                                                  doi: 10.1016/j.clinimag.2014.03.006
            Author contributions                               9.   Gao S, Shu H, Yang H. Imaging features of skeletal muscle

            Conceptualization: Cesare Oliveti, Giuseppe Lucio Cascini  lymphoma: A case report and literature review. BMC Med
                                                                  Imaging. 2021;21(1):136.
            Formal analysis: Cesare Oliveti, Roberta Mancini
            Investigation: Cesare Oliveti, Claudia Italia Maria De Santis     doi: 10.1186/s12880-021-00667-4
            Methodology: Cesare Oliveti, Barbara Catalfamo     10.  Kostakoglu L, Goldsmith SJ. Fluorine-18 fluorodeoxyglucose
            Writing  –  original  draft: Cesare Oliveti, Annachiara   positron emission tomography in the staging and follow-up
               Mollace, Francesco Manti                           of lymphoma: Is it time to shift gears?  Eur J Nucl Med.
            Writing – review & editing: Cesare Oliveti, Giuseppe Lucio   2000;27(10):1564-1578.
               Cascini                                            doi: 10.1007/s002590000340

            Ethics approval and consent to participate         11.  Paes FM, Kalkanis DG, Sideras PA, Serafini AN. FDG PET/
                                                                  CT of extranodal involvement in non-hodgkin lymphoma
            Not applicable.                                       and hodgkin disease. Radiographics 2010;30(1):269-291.


            Volume 2 Issue 1 (2024)                         4                       https://doi.org/10.36922/arnm.2828
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