Clinical Utility of Bone SPECT Scintigraphy in Renal Metastases From Primary Osteosarcoma

Renal metastases from primary osteosarcomas are rather uncommon and rarely diagnosed early because the patients are asymptomatic and frequently die from other metastatic involvement before renal symptoms develop. The authors present a patient with two clinically silent renal metastases from primary...

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Bibliographic Details
Published in:Clinical nuclear medicine 1994-12, Vol.19 (12), p.1098-1101
Main Authors: BALINGIT, ANTONIO G, RUDD, STEVEN, WILLIAMS, SCOTT
Format: Article
Language:English
Subjects:
Adolescent
Biological and medical sciences
Bone and Bones - diagnostic imaging
Diseases of the osteoarticular system
Female
Femoral Neoplasms - pathology
Humans
Kidney Neoplasms - diagnostic imaging
Kidney Neoplasms - secondary
Medical sciences
Miscellaneous. Osteoarticular involvement in other diseases
Osteosarcoma - diagnostic imaging
Osteosarcoma - secondary
Tomography, Emission-Computed, Single-Photon
Tomography, X-Ray Computed
Citations: Items that cite this one
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Description
Summary:Renal metastases from primary osteosarcomas are rather uncommon and rarely diagnosed early because the patients are asymptomatic and frequently die from other metastatic involvement before renal symptoms develop. The authors present a patient with two clinically silent renal metastases from primary osteosarcoma of the right femur 2 years after surgery of the primary lesion that was first detected on radionuclide bone imaging. Subsequently, a CT scan and a CT guided needle biopsy were performed for confirmation. The patient underwent a left nephrectomy and two separate lesions were proven to be metastatic osteosarcoma. The clinical importance of the nuclear bone scan in the initial management, as well as in the subsequent follow-up of patients after surgery, cannot be overemphasized.
ISSN:0363-9762
1536-0229
DOI:10.1097/00003072-199419120-00013