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CC BY-NC-ND 4.0 · World J Nucl Med 2017; 16(04): 331-333
DOI: 10.4103/1450-1147.215497
Case report

Serendipitous detection of extraosseous metastases on bone scintigraphy: Utility of cross-sectional and correlative imaging

Jiwan Paudel
Department of Nuclear Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, India
,
Harmandeep Singh
Department of Nuclear Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, India
,
Ashwani Sood
Department of Nuclear Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, India
,
Anish Bhattacharya
Department of Nuclear Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, India
,
Bhagwant Mittal
Department of Nuclear Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, India
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Whole body bone scintigraphy is most commonly used imaging modality to detect and assess the extent of osteoblastic osseous metastases in malignant conditions, though visceral metastases need additional imaging. The authors describe a case of 50-year-old postoperative breast cancer female where bone scintigraphy showed soft tissue uptake in thorax and hepatic region in addition to multiple skeletal metastases, indicating the involvement of three different organs by metastatic disease. The present case highlights that extraosseous tracer uptake in addition to abnormal osseous tracer uptake may raise the suspicion of widespread and visceral metastatic disease and warrant further evaluation in the form of cross-sectional and correlative imaging.

Keywords

Bone scintigraphy - extraosseous metastases - single photon emission computed tomography/computed tomography - 99mTc-methylene diphosphonate


Publication History

Article published online:
18 May 2022

© 2017. Sociedade Brasileira de Neurocirurgia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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