Aportes del 18Flúor-desoxi-glucosa tomografía por emisión de positrones/tomografía computada en el diagnóstico de compromiso extramedular por mieloma múltiple en Uruguay

Resumen

Background: 18Fluoro-Deoxy-Glucose positron emission tomography/computed tomography (PET-CT) has a high sensitivity and specificity to detect medullary and extramedullary lesions in multiple myeloma (MM). Aim: To describe the findings of PET-CT in extramedullary multiple myeloma (EMM) at diagnosis and at relapse, and correlate its results with clinical variables, response to treatment and survival. Materials and methods: Review of medical records and PET-CT reports of 39 patients with multiple myeloma (MM) who had at least one PET-CT study, treated between January 1, 2015, and January 1, 2019 at a clinical hospital. Results: The Standard Uptake Values for each hypermetabolic lesion were not described in PET-CT reports. Fifteen patients had a EMM and in eight, without a previous clinical suspicion, PET-TC lead to the diagnosis. The mortality rate in the 39 patients with MM was 46%. Sixty seven percent of deaths occurred in patients with EMM. Conclusions: PET-TC was useful to diagnose EMM. However, a standardization in PET- CT reports would be required to unify criteria. As previously reported, EMM had a greater aggressiveness and lower survival.