PMC10242558_01
A-C. 1A: Sagittal view of CT angiogram of the chest revealing mediastinal mass. 1B: PET scan after 2 cycles of dose adjusted EPOCH. Notably with significant debulking of mediastinal mass. 1C: PET scan after 3 cycles of dose adjusted EPOCH. Complete metabolic response with a Deauville score of 2.
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CEA 0.9 ug/L, procalcitonin 0.06 ng/mL. CT angiogram of the chest was performed and showed a 20 x 7.8 cm predominantly low-density anterior mediastinal mass with no calcifications, seen in Fig. 1A. After 2 cycles, there was significant delbulking of his disease noted on PET scan seen in Fig. 1B and improvement of his symptoms. He continued with cycle 3/6 of dose adjusted EPOCH and was noted to have complete metabolic response with a Deauville Score of 2 seen in Fig. 1C.