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Journal of Nuclear Medicine Technology, Vol 26, Issue 2 91-93, Copyright © 1998 by Society of Nuclear Medicine

ARTICLES

An unusual case of a tibial metastasis as the clinical presentation of bronchogenic adenocarcinoma

WJ Shih, S Magoun, B Lahar, V Stipp and K Gross
Nuclear Medicine Service, Veterans Administration Medical Center, Lexington, Kentucky 40511-1093, USA.

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.




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THE JOURNAL OF NUCLEAR MEDICINE JOURNAL OF NUCLEAR MEDICINE TECHNOLOGY
Copyright © 1998 by the Society of Nuclear Medicine Technologist Section.