PT  - JOURNAL ARTICLE
AU  - Wei-Jen Shih
AU  - Sylvia Magoun
AU  - Barbara Lahar
AU  - Vickie Stipp
AU  - Kelly Gross
TI  - An Unusual Case of a Tibial Metastasis as the Clinical Presentation of Bronchogenic Adenocarcinoma
DP  - 1998 Jun 01
TA  - Journal of Nuclear Medicine Technology
PG  - 91--93
VI  - 26
IP  - 2
4099  - http://tech.snmjournals.org/content/26/2/91.short
4100  - http://tech.snmjournals.org/content/26/2/91.full
SO  - J. Nucl. Med. Technol.1998 Jun 01; 26
AB  - 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.