One is focal hepatic candidiasis. This disease is most often manifested as the bone marrow is recovering following prolonged fever and neutropenia with multiple courses of antibiotics. Cultures including those obtained from biopsies often demonstrate no growth. The role of Ga-67 citrate imaging has not been well established for the diagnosis. Gallium Scintigraphy in Other Viscera Other solid abdominal viscera that can be involved in both Hodgkin's disease and non-Hodgkin's lymphoma are the spleen and pancreas.
Lymphoma is the most common malignant splenic tumor and is frequently microscopic.
Like hepatic lymphoma, the role of gallium scanning has not been well defined and no data is available regarding it's sensitivity or specificity in the diagnosis of lymphomatous involvement. Pancreatic involvement by lymphoma is rare in Hodgkin's disease based on clinical findings but the incidence is much higher on autopsies and is frequently under appreciated. The disease may be related to peripancreatic lymph node involvement. No data is available for the best diagnostic modality. While data are not available for the sensitivity and specificity of gallium scanning in hepatic lymphoma, much has been published on the use of gallium scanning in the detection of lymphoma involvement above and below the diaphragm before and after treatment as well as a predictor of clinical outcome during or following therapy.