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. 2016 Sep 30;95(39):e4983. doi: 10.1097/MD.0000000000004983

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Copyright © 2016 the Author(s). Published by Wolters Kluwer Health, Inc. All rights reserved.

This is an open access article distributed under the Creative Commons Attribution License 4.0, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. http://creativecommons.org/licenses/by/4.0

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A 53-year-old man with gastric diffuse large B-cell lymphoma. In baseline positron emission tomography/computed tomography (PET/CT) transaxial (A) and PET maximum intensity projection (MIP) (B) images, intense F-18-fluoro-2-deoxyglucose (FDG) uptake was seen along the gastric wall from cardia to body, mainly along the lesser curvature side (maximum standardized uptake value 28.2) (arrows). In interim PET/CT transaxial (C) and PET MIP (D) images after 3 cycles of first-line chemotherapy, previously noted FDG uptake in the stomach showed markedly decreased intensity and extent (arrowheads). Remaining FDG uptake could not be differentiated from physiological gastric activity. Reader A interpreted this finding as Deauville score 4 and reader B interpreted it as score 1. After completion of first-line chemotherapy, the patient remains in clinical remission without additional therapy (overall survival 76.8 months). CT = computed tomography, FDG = F-18-fluoro-2-deoxyglucose, MIP = maximum intensity projection, PET = positron emission tomography.