An immunoglobulin G4-related disease mimicking postoperative lung cancer recurrence.

Abstract:

:A postoperative lung cancer patient presented with lymphadenopathy, pleural thickening, and 18F-fluorodeoxyglucose (FDG) uptake on a positron emission tomography-computed tomography (PET-CT) scan. Lung cancer recurrence was initially suspected, but bilateral submandibular masses with 18F-FDG uptake indicated the possibility of a systemic disease, such as Mikulicz's disease. High serum immunoglobulin G4 (IgG4) and IgG4-positive plasma cell infiltration in the submandibular glands led to the diagnosis of IgG4-related disease. After systemic steroid therapy, 18F-FDG uptake decreased in both the submandibular glands and the suspected recurrent lesions.

journal_name

Mod Rheumatol

journal_title

Modern rheumatology

authors

Nakazawa S,Shimizu K,Nakano T,Kakegawa S,Atsumi J,Kamiyoshihara M,Hirato J,Takeyoshi I

doi

10.1007/s10165-011-0580-y

subject

Has Abstract

pub_date

2012-09-01 00:00:00

pages

787-90

issue

5

eissn

1439-7595

issn

1439-7609

journal_volume

22

pub_type

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