Benign Histiocyte-Rich Pseudotumor Developing Postchemotherapy and Mimicking Residual Disease

Histiocyte-rich pseudotumors (HRPT) developing postchemoradiation therapy are a florid response to treatment and reparative change. Although these are benign processes, clinically and radiologically, these may mimic recurrent/relapsed disease. We describe a case of an adult male with history of diff...

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Main Authors: Amrit P. Singh, Glenn P. Murray, Soumya Pandey
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Case Reports in Pathology
Online Access:http://dx.doi.org/10.1155/2020/4674103
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author Amrit P. Singh
Glenn P. Murray
Soumya Pandey
author_facet Amrit P. Singh
Glenn P. Murray
Soumya Pandey
author_sort Amrit P. Singh
collection DOAJ
description Histiocyte-rich pseudotumors (HRPT) developing postchemoradiation therapy are a florid response to treatment and reparative change. Although these are benign processes, clinically and radiologically, these may mimic recurrent/relapsed disease. We describe a case of an adult male with history of diffuse large B-cell lymphoma (DLBCL), status postchemoradiation therapy, who developed HRPT at the site of original involvement, mimicking relapse of disease on positron emission tomography/computed tomography (PET/CT) imaging. This is one of the few reported cases of posttreatment HRPT. This entity is important to point out the limitations of PET/CT imaging in patients with lymphomas and metastatic disease and stresses the importance of an excisional biopsy for determining relapse and the need for further treatment.
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spelling doaj-art-305877f7607e4038b09a5b955f192f9b2025-08-20T03:20:23ZengWileyCase Reports in Pathology2090-67812090-679X2020-01-01202010.1155/2020/46741034674103Benign Histiocyte-Rich Pseudotumor Developing Postchemotherapy and Mimicking Residual DiseaseAmrit P. Singh0Glenn P. Murray1Soumya Pandey2Department of Pathology, University of Arkansas for Medical Sciences, Little Rock, AR 72205, USADepartment of Pathology, University of Arkansas for Medical Sciences, Little Rock, AR 72205, USADepartment of Pathology, University of Arkansas for Medical Sciences, Little Rock, AR 72205, USAHistiocyte-rich pseudotumors (HRPT) developing postchemoradiation therapy are a florid response to treatment and reparative change. Although these are benign processes, clinically and radiologically, these may mimic recurrent/relapsed disease. We describe a case of an adult male with history of diffuse large B-cell lymphoma (DLBCL), status postchemoradiation therapy, who developed HRPT at the site of original involvement, mimicking relapse of disease on positron emission tomography/computed tomography (PET/CT) imaging. This is one of the few reported cases of posttreatment HRPT. This entity is important to point out the limitations of PET/CT imaging in patients with lymphomas and metastatic disease and stresses the importance of an excisional biopsy for determining relapse and the need for further treatment.http://dx.doi.org/10.1155/2020/4674103
spellingShingle Amrit P. Singh
Glenn P. Murray
Soumya Pandey
Benign Histiocyte-Rich Pseudotumor Developing Postchemotherapy and Mimicking Residual Disease
Case Reports in Pathology
title Benign Histiocyte-Rich Pseudotumor Developing Postchemotherapy and Mimicking Residual Disease
title_full Benign Histiocyte-Rich Pseudotumor Developing Postchemotherapy and Mimicking Residual Disease
title_fullStr Benign Histiocyte-Rich Pseudotumor Developing Postchemotherapy and Mimicking Residual Disease
title_full_unstemmed Benign Histiocyte-Rich Pseudotumor Developing Postchemotherapy and Mimicking Residual Disease
title_short Benign Histiocyte-Rich Pseudotumor Developing Postchemotherapy and Mimicking Residual Disease
title_sort benign histiocyte rich pseudotumor developing postchemotherapy and mimicking residual disease
url http://dx.doi.org/10.1155/2020/4674103
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AT soumyapandey benignhistiocyterichpseudotumordevelopingpostchemotherapyandmimickingresidualdisease