Open Access
CC BY-NC-ND 4.0 · World J Nucl Med 2021; 20(02): 185-187
DOI: 10.4103/wjnm.WJNM_70_20
Case Report

Lung cancer metastasis mimicking fingertip osteomyelitis: An 18F-fluorodeoxyglucose positron emission tomography-computed tomography study

Chiara Cottignoli
Department of Nuclear Medicine, “Ospedali Riuniti” Hospital, Ancona, Italy
,
Cinzia Romagnolo
Department of Nuclear Medicine, “Ospedali Riuniti” Hospital, Ancona, Italy
,
Fabio Fringuelli
Department of Nuclear Medicine, “Ospedali Riuniti” Hospital, Ancona, Italy
,
Luca Burroni
Department of Nuclear Medicine, “Ospedali Riuniti” Hospital, Ancona, Italy
› Institutsangaben
Preview

Abstract

Lung cancer commonly metastasizes to ipsilateral and contralateral lungs, to mediastinal lymph nodes, to skeletal level, to brain, and to adrenal gland. It is indeed very rare to find skeletal metastases at the extremities, especially at the onset of the disease. We share the case of a 53-year-old man with dyspnea and pain at the level of the first finger of the left hand under antibiotic treatment for suspected osteomyelitis. 18F-fluorodeoxyglucose positron emission tomography–computed tomography showed the presence of a left lung lesion with multiple localizations at muscles and bones.

Financial support and sponsorship

Nil.




Publikationsverlauf

Eingereicht: 09. Juli 2020

Angenommen: 19. Juli 2020

Artikel online veröffentlicht:
24. März 2022

© 2021. 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/)

Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India

 
  • References

  • 1 Qu X, Huang X, Yan W, Wu L, Dai K. A meta-analysis of 18-FDG-PET-CT, 18FDG-PET, MRI and bone scintigraphy for diagnosis of bone metastases in patients with lung cancer. Eur J Radiol 2012;81:1007-15.
  • 2 Morris G, Evans S, Stevenson J, Kotecha A, Parry M, Jeys L, et al. Bone metastases of the hand. Ann R Coll Surg Engl 2017;99:563-7.
  • 3 Pop D, Nadeemy AS, Venissac N, Guiraudet P, Otto J, Poudenx M, et al. Skeletal muscle metastasis from non-small cell lung cancer. J Thorac Oncol 2009;4:1236-41.
  • 4 Mhlanga JC, Carrino JA, Lodge M, Wang H, Wahl RL. 18F-FDG PET of the hands with a dedicated high-resolution PEM system (arthro-PET): Correlation with PET/CT, radiography and clinical parameters. Eur J Nucl Med Mol Imaging 2014;41:2337-45.
  • 5 Long LS, Brickner L, Helfend L, Wong T, Kubota D. Lung cancer presenting as acrometastasis to the finger: A case report. Case Rep Med 2010;2010:234289.
  • 6 Soylemez S, Demiroglu M, Yayla MA, Ozkan K, Alpan B, Ozger H. Lung metastasis mimicking fingertip infection. Case Rep Oncol Med 2015;2015:708789.