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Candida esophagitis incidentally detected by 18F-FDG PET/CT in a patient with CNS lymphoma.

Melikşah BayarNurgül Özgür YurttaşSeçkin BilgiçKebire KarakuşUğur ÖnalKerim SönmezoğluZafer BaşlarAhmet Emre Eskazan
Published in: Clinical case reports (2021)
Corticosteroids are commonly used in lymphoma patients, and findings in favor of esophageal involvement in 18F-FDG PET-CT should be considered suspicious and definitely be confirmed by biopsy. We describe a 58-year-old lady with diffuse large B-cell lymphoma and central nervous system involvement having an increased metabolism in the distal esophagus with 18F-FDG PET/CT, which was consistent with esophageal candidiasis, most probably due to prolonged use of dexamethasone. Esophageal candidiasis can be misdiagnosed as malignancy with a high SUVmax and may lead to difficulties while managing these patients.
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