Bone metastasis from primary splenic angiosarcoma to the sacrum demonstrated by Tc-99m-labeled red blood cell and Tc-99m MDP bone scintigraphy
Clinical Nuclear Medicine, cilt.26, sa.4, ss.363-364, 2001 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 26 Sayı: 4
- Basım Tarihi: 2001
- Doi Numarası: 10.1097/00003072-200104000-00027
- Dergi Adı: Clinical Nuclear Medicine
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
- Sayfa Sayıları: ss.363-364
- Anahtar Kelimeler: Primary Splenic Angiosarcoma, Tc-99m MDP, Tc-99m-Labeled Red Blood Cell
- Trakya Üniversitesi Adresli: Evet
Özet
A case of bone metastasis from a primary splenic angiosarcoma to the sacrum is presented. A 70-year-old woman was hospitalized because of weight loss of 25 kg in 4 months and left upper quadrant pain. Physical examination revealed a palpable spleen 15 cm below the left costal margin and a painful sacrum. Ultrasonographic examination showed that the spleen was markedly enlarged, with a heterogeneous low-echo pattern. Doppler evaluation revealed increased vascularization. The computed tomographic scan showed a hypodense parenchyma with nodular and tubular enhancement after contrast administration. The spleen was removed, and the histopathologic diagnosis was primary angiosarcoma of the spleen. The findings of Tc-99m MDP bone imaging were consistent with a metastasis in the sacrum. Tc-99m RBC imaging showed increased uptake in the sacral metastasis.