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

J Nucl Med Technol. 1998 Jun;26(2):91-3.

Abstract

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.

Publication types

  • Case Reports

MeSH terms

  • Adenocarcinoma / diagnostic imaging
  • Adenocarcinoma / secondary*
  • Aged
  • Bone Neoplasms / diagnostic imaging
  • Bone Neoplasms / secondary*
  • Femoral Neoplasms / diagnostic imaging
  • Femoral Neoplasms / secondary
  • Femur Neck / diagnostic imaging
  • Humans
  • Ileal Neoplasms / diagnostic imaging
  • Ileal Neoplasms / secondary
  • Ileum / diagnostic imaging
  • Liver Neoplasms / diagnostic imaging
  • Liver Neoplasms / secondary
  • Lung Neoplasms / diagnostic imaging
  • Lung Neoplasms / pathology*
  • Lymphatic Metastasis
  • Male
  • Radiopharmaceuticals
  • Ribs / diagnostic imaging
  • Technetium Tc 99m Medronate / analogs & derivatives
  • Tibia / diagnostic imaging*
  • Tomography, Emission-Computed, Single-Photon
  • Tomography, X-Ray Computed
  • Whole-Body Counting

Substances

  • Radiopharmaceuticals
  • technetium Tc 99m hydroxymethylene diphosphonate
  • Technetium Tc 99m Medronate