초기 골스캔에서 뼈, 폐와 심낭으로의 전이를 보인 골육종 (Osteogenic Sarcoma with Osseous, Pulmonary, and Pericardial Metastases Simultaneously Demonstrated on Bone Scintigraphy at Initial Presentation) |
Author |
임석태, 김민우, 손명희, 황평한, |
SEOK TAE LIM, M.D., MIN-WOO KIM, M.D., MYUNG-HEE SOHN, M.D.,AND PYOUNG-HAN HWANG, M.D. |
Affiliation |
전북대학교 의과대학 핵의학교실,소아과학교실,임상의학연구소,의과학연구소 Departments of Nuclear Medicine and Pediatrics, Institute for Medical Sciences, andResearch Institute of Clinical Medicine, Chonbuk National University Medical School, Chonju, Korea |
Abstract |
A 6-year-old boy with osteogenic sarcoma of the left humerus underwent bone scintigraphy.
Tc-99m MDP was accumulated not only in the primary tumor but also in the osseous and extraosseous
(pulmonary and pericardial) metastases. Osteogenic sarcoma directly produces osteoid, both in the primary
and metastatic lesions. Tc-99m MDP is avidly taken up by tumor osteoid. At initial presentation, only 2%
of cases have both pulmonary and osseous metastases. The patient had osseous, pulmonary, and
pericardial metastases at presentation. This case presents that increased uptakes of Tc-99m MDP by the
primary and metastatic tumor were demonstrated on bone scintigraphy at presentation. |
Keyword |
Osteogenic sarcoma, metastases, extraosseous uptake, Tc-99m MDP, bone scintigraphy |
Full text Article |
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