Click on image for full sizeThis is a volume rendered PET/CT. Follicular cell extranodal lymphoma is rare in the duodenum where MALT would be more common. Follicular cell NHL is the most common indolent lymphoma and patients may go for years with no need of treatment. These tumors bear a chromasomal translocation which activates the bcl 2 gene. This protein blocks apoptosis aiding in cellular proliferation. Remember to be a cancer you not only have to proliferate, you have to circumvent cell death.
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