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Retroperitoneal and Mesenteric Lymphoma
Matthew T. Heller, MD, FSAR
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Diagnostic Checklist

          TERMINOLOGY

          • Synonyms

            • Non-Hodgkin lymphoma (NHL) > Hodgkin disease (HD)
          • Definitions

            • Malignancy of blood cells that develop from lymphocytes

          IMAGING

          • General Features

            • Radiographic Findings

              • CT Findings

                • MR Findings

                  • Ultrasonographic Findings

                    • Nuclear Medicine Findings

                      • Imaging Recommendations

                        DIFFERENTIAL DIAGNOSIS

                          PATHOLOGY

                          • General Features

                            • Staging, Grading, & Classification

                              • Gross Pathologic & Surgical Features

                                • Microscopic Features

                                  CLINICAL ISSUES

                                  • Presentation

                                    • Demographics

                                      • Natural History & Prognosis

                                        • Treatment

                                          DIAGNOSTIC CHECKLIST

                                          • Consider

                                            • Image Interpretation Pearls

                                              Selected References

                                              1. Barrington SF et al: Role of imaging in the staging and response assessment of lymphoma: consensus of the International Conference on Malignant Lymphomas Imaging Working Group. J Clin Oncol. 32(27):3048-58, 2014
                                              2. Cheson BD et al: Recommendations for initial evaluation, staging, and response assessment of Hodgkin and non-Hodgkin lymphoma: the Lugano classification. J Clin Oncol. 32(27):3059-68, 2014
                                              3. Kostakoglu L et al: Current role of FDG PET/CT in lymphoma. Eur J Nucl Med Mol Imaging. 41(5):1004-27, 2014
                                              4. Allen-Auerbach M et al: PET/computed tomography and lymphoma. Radiol Clin North Am. 51(5):833-44, 2013
                                              5. Heller MT et al: Managing incidental findings on abdominal and pelvic CT and MRI, part 3: white paper of the ACR Incidental Findings Committee II on splenic and nodal findings. J Am Coll Radiol. 10(11):833-9, 2013
                                              6. Manzella A et al: Abdominal manifestations of lymphoma: spectrum of imaging features. ISRN Radiol. 2013:483069, 2013
                                              7. Tateishi U et al: Nodal status of malignant lymphoma in pelvic and retroperitoneal lymphatic pathways: PET/CT. Abdom Imaging. Epub ahead of print, 2009
                                              8. Anis M et al: Imaging of abdominal lymphoma. Radiol Clin North Am. 46(2):265-85, viii-ix, 2008
                                              9. Lee WK et al: Abdominal manifestations of extranodal lymphoma: spectrum of imaging findings. AJR Am J Roentgenol. 191(1):198-206, 2008
                                              10. Morgan PB et al: Uncommon presentations of Hodgkin's disease. Case 1. Hodgkin's disease of the jejunum. J Clin Oncol. 22(1):193-5, 2004
                                              11. Ahmad A et al: Gastric mucosa-associated lymphoid tissue lymphoma. Am J Gastroenterol. 98(5):975-86, 2003
                                              12. O'Malley ME et al: US of gastrointestinal tract abnormalities with CT correlation. Radiographics. 23(1):59-72, 2003
                                              13. Sheth S et al: Mesenteric neoplasms: CT appearances of primary and secondary tumors and differential diagnosis. Radiographics. 23(2):457-73; quiz 535-6, 2003
                                              14. Vinnicombe SJ et al: Computerised tomography in the staging of Hodgkin's disease and non-Hodgkin's lymphoma. Eur J Nucl Med Mol Imaging. 30 Suppl 1:S42-55, 2003
                                              15. Apter S et al: Calcification in lymphoma occurring before therapy: CT features and clinical correlation. AJR Am J Roentgenol. 178(4):935-8, 2002
                                              16. Boni L et al: Primary pancreatic lymphoma. Surg Endosc. 16(7):1107-8, 2002
                                              17. Elis A et al: Detection of relapse in non-Hodgkin's lymphoma: role of routine follow-up studies. Am J Hematol. 69(1):41-4, 2002
                                              Related Anatomy
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                                              Related Differential Diagnoses
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                                              References
                                              Tables

                                              Tables

                                              KEY FACTS

                                              • Terminology

                                                • Imaging

                                                  • Top Differential Diagnoses

                                                    • Diagnostic Checklist

                                                      TERMINOLOGY

                                                      • Synonyms

                                                        • Non-Hodgkin lymphoma (NHL) > Hodgkin disease (HD)
                                                      • Definitions

                                                        • Malignancy of blood cells that develop from lymphocytes

                                                      IMAGING

                                                      • General Features

                                                        • Radiographic Findings

                                                          • CT Findings

                                                            • MR Findings

                                                              • Ultrasonographic Findings

                                                                • Nuclear Medicine Findings

                                                                  • Imaging Recommendations

                                                                    DIFFERENTIAL DIAGNOSIS

                                                                      PATHOLOGY

                                                                      • General Features

                                                                        • Staging, Grading, & Classification

                                                                          • Gross Pathologic & Surgical Features

                                                                            • Microscopic Features

                                                                              CLINICAL ISSUES

                                                                              • Presentation

                                                                                • Demographics

                                                                                  • Natural History & Prognosis

                                                                                    • Treatment

                                                                                      DIAGNOSTIC CHECKLIST

                                                                                      • Consider

                                                                                        • Image Interpretation Pearls

                                                                                          Selected References

                                                                                          1. Barrington SF et al: Role of imaging in the staging and response assessment of lymphoma: consensus of the International Conference on Malignant Lymphomas Imaging Working Group. J Clin Oncol. 32(27):3048-58, 2014
                                                                                          2. Cheson BD et al: Recommendations for initial evaluation, staging, and response assessment of Hodgkin and non-Hodgkin lymphoma: the Lugano classification. J Clin Oncol. 32(27):3059-68, 2014
                                                                                          3. Kostakoglu L et al: Current role of FDG PET/CT in lymphoma. Eur J Nucl Med Mol Imaging. 41(5):1004-27, 2014
                                                                                          4. Allen-Auerbach M et al: PET/computed tomography and lymphoma. Radiol Clin North Am. 51(5):833-44, 2013
                                                                                          5. Heller MT et al: Managing incidental findings on abdominal and pelvic CT and MRI, part 3: white paper of the ACR Incidental Findings Committee II on splenic and nodal findings. J Am Coll Radiol. 10(11):833-9, 2013
                                                                                          6. Manzella A et al: Abdominal manifestations of lymphoma: spectrum of imaging features. ISRN Radiol. 2013:483069, 2013
                                                                                          7. Tateishi U et al: Nodal status of malignant lymphoma in pelvic and retroperitoneal lymphatic pathways: PET/CT. Abdom Imaging. Epub ahead of print, 2009
                                                                                          8. Anis M et al: Imaging of abdominal lymphoma. Radiol Clin North Am. 46(2):265-85, viii-ix, 2008
                                                                                          9. Lee WK et al: Abdominal manifestations of extranodal lymphoma: spectrum of imaging findings. AJR Am J Roentgenol. 191(1):198-206, 2008
                                                                                          10. Morgan PB et al: Uncommon presentations of Hodgkin's disease. Case 1. Hodgkin's disease of the jejunum. J Clin Oncol. 22(1):193-5, 2004
                                                                                          11. Ahmad A et al: Gastric mucosa-associated lymphoid tissue lymphoma. Am J Gastroenterol. 98(5):975-86, 2003
                                                                                          12. O'Malley ME et al: US of gastrointestinal tract abnormalities with CT correlation. Radiographics. 23(1):59-72, 2003
                                                                                          13. Sheth S et al: Mesenteric neoplasms: CT appearances of primary and secondary tumors and differential diagnosis. Radiographics. 23(2):457-73; quiz 535-6, 2003
                                                                                          14. Vinnicombe SJ et al: Computerised tomography in the staging of Hodgkin's disease and non-Hodgkin's lymphoma. Eur J Nucl Med Mol Imaging. 30 Suppl 1:S42-55, 2003
                                                                                          15. Apter S et al: Calcification in lymphoma occurring before therapy: CT features and clinical correlation. AJR Am J Roentgenol. 178(4):935-8, 2002
                                                                                          16. Boni L et al: Primary pancreatic lymphoma. Surg Endosc. 16(7):1107-8, 2002
                                                                                          17. Elis A et al: Detection of relapse in non-Hodgkin's lymphoma: role of routine follow-up studies. Am J Hematol. 69(1):41-4, 2002