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 Wei-Jen Shih
A1 Sylvia Magoun
A1 Barbara Lahar
A1 Vickie Stipp
A1 Kelly Gross
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.