An Unusual Case of a Tibial Metastasis as the Clinical Presentation of Bronchogenic Adenocarcinoma

Journal of Nuclear Medicine Technology

Vickie Stipp¹  Barbara Lahar¹  Kelly Gross¹  Sylvia Magoun¹  Wei-Jen Shih¹ 

[1] Nuclear Medicine and Radiology Services, Veterans Administration and University Medical Centers, Lexington, Kentucky Nuclear Medicine and Radiology Services, Veterans Administration and University Medical Centers, Lexington, Kentucky Nuclear Medicine and Radiology Services, Veterans Administration and University Medical Centers, Lexington, Kentucky

关键词: lung cancer;    bone scintigraphy;    metastasis;   

DOI  :  

学科分类：医学（综合）

来源: Society of Nuclear Medicine

【 摘 要 】

A patient with initial complaints of leg pain and difficulty walking was found to have a large right tibial metastatic tumor and poorly differentiated adenocarcinoma of the lung. Findings from total-body bone scintigraphy include a large area of increased uptake in the proximal half of the right tibia with a photon-deficient area medially, and focal areas of uptake in a right rib, in the femoral neck and the left ileum. An irregular area of increased uptake in the left lung mass was shown by thoracic bone SPECT. This is an unusual case of a tibial metastasis as the first clinical presentation of bronchogenic adenocarcinoma.

【 授权许可】

Unknown