RT Journal Article SR Electronic T1 An Unusual Case of a Tibial Metastasis as the Clinical Presentation of Bronchogenic Adenocarcinoma JF Journal of Nuclear Medicine Technology JO J. Nucl. Med. Technol. FD Society of Nuclear Medicine SP 91 OP 93 VO 26 IS 2 A1 Shih, Wei-Jen A1 Magoun, Sylvia A1 Lahar, Barbara A1 Stipp, Vickie A1 Gross, Kelly YR 1998 UL http://tech.snmjournals.org/content/26/2/91.abstract 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.