Department of Nuclear Medicine, 5th Azar Hospital, Gorgan, Iran.
Clin Nucl Med. 2013 May;38(5):372-4. doi: 10.1097/RLU.0b013e3182868266.
We report a case of myelodysplastic syndrome (MDS) with unusual abnormal 99mTc-MDP activity throughout both lungs on whole-body bone scan. To explain the pancytopenia, bone marrow examination was carried out which showed hypocellularity in addition to large abnormal megakaryocytes indicating myelodysplastic changes. His whole-body bone scan showed increased 99mTc-MDP activity in both lungs, kidneys, and also along the proximal two thirds of the femora. It was concluded that lung uptake in addition to skeletal uptake on scintigraphic bone scanning should be kept in mind in patients with MDS.
我们报告一例骨髓增生异常综合征（MDS）患者，全身骨扫描显示整个肺部异常摄取 99mTc-MDP。为了解释全血细胞减少的原因，进行了骨髓检查，结果显示除了大量异常巨核细胞外，骨髓还存在细胞减少，提示骨髓增生异常改变。全身骨扫描显示双肺、肾脏和股骨近端三分之二处 99mTc-MDP 摄取增加。结论是，在 MDS 患者中，应注意肺部摄取以及骨骼闪烁扫描中的骨骼摄取。
