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Lymphatic spread of pagetic osteogenic sarcoma detected by bone scan.
- Source :
-
Cancer imaging : the official publication of the International Cancer Imaging Society [Cancer Imaging] 2008 Jun 25; Vol. 8, pp. 131-4. Date of Electronic Publication: 2008 Jun 25. - Publication Year :
- 2008
-
Abstract
- Bone scans are widely utilized for detection of metastases from bone sarcomas. Technetium methylene diphosphonate scan ([(99m)Tc]MDP) is one of the most popular radiotracers used for that purpose. Lymphatic spread of bone sarcomas is unusual and often difficult to diagnose. Unfortunately, bone scans are not as sensitive in demonstrating lymphatic spread of sarcomas as they are at demonstrating hematogenous spread. A bone scan will often fail to demonstrate lymph nodes metastases until there is mineralization at the affected node. In this report, we highlight an interesting case of a patient with secondary osteogenic sarcoma (OS) from Paget's disease in the distal femur with non-ossified inguinal nodal metastasis diagnosed with [(99m)Tc]MDP. Lymph node involvement was not appreciated on plain radiographs or computed tomography (CT).
- Subjects :
- Aged
Biopsy, Needle
Bone Neoplasms pathology
Bone Neoplasms therapy
Chemotherapy, Adjuvant
Combined Modality Therapy
Disease Progression
Fatal Outcome
Femur pathology
Femur surgery
Humans
Immunohistochemistry
Knee Joint physiopathology
Lymphatic Metastasis
Magnetic Resonance Imaging
Male
Neoplasm Invasiveness
Neoplasm Staging
Osteitis Deformans complications
Osteosarcoma therapy
Tomography, Emission-Computed
Bone Neoplasms diagnostic imaging
Femur diagnostic imaging
Osteosarcoma diagnostic imaging
Osteosarcoma secondary
Subjects
Details
- Language :
- English
- ISSN :
- 1470-7330
- Volume :
- 8
- Database :
- MEDLINE
- Journal :
- Cancer imaging : the official publication of the International Cancer Imaging Society
- Publication Type :
- Academic Journal
- Accession number :
- 18586631
- Full Text :
- https://doi.org/10.1102/1470-7330.2008.0021