Incidentally detected arterial thrombosis in (99m)Tc-methylene diphosphonate skeletal scintigraphy: an atypical observation

The association between cancer and venous thrombosis is well established. However, that between malignancy and arterial thrombosis is less well described. We herein report a 48-year-old male patient diagnosed with base of tongue carcinoma, referred for Tc-methylene diphosphonate (MDP) bone scan stud...

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Bibliographic Details
Published in:Clinical nuclear medicine 2014-02, Vol.39 (2), p.190-192
Main Authors: Pruthi, Ankur, Chauhan, Vishu Vijayant, Rao, S A, Choudhury, P S
Format: Article
Language:English
Subjects:
Arteries
Humans
Incidental Findings
Leg Bones - diagnostic imaging
Male
Middle Aged
Radionuclide Imaging
Technetium Tc 99m Medronate
Thrombosis - complications
Thrombosis - diagnostic imaging
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Summary:The association between cancer and venous thrombosis is well established. However, that between malignancy and arterial thrombosis is less well described. We herein report a 48-year-old male patient diagnosed with base of tongue carcinoma, referred for Tc-methylene diphosphonate (MDP) bone scan study to evaluate recently developed pain and numbness in his right leg while undergoing chemoradiation. Tc-MDP bone scan study revealed complete absence of radiotracer distribution in the right lower limb below the knee region. This finding was inferred to be due to avascularity in this region secondary to thrombo-embolism that was substantiated by color Doppler sonography.
ISSN:1536-0229
DOI:10.1097/RLU.0b013e318292eef9