Prado Wohlwend S, Sánchez Vaño R, Sopena Novales P, Uruburu García E, Aparisi Rodríguez F, Martínez Carsí C
Servicio de Medicina Nuclear, Hospital Nisa 9 de Octubre, Valencia, España.
Servicio de Medicina Nuclear, Hospital Nisa 9 de Octubre, Valencia, España.
Rev Esp Med Nucl Imagen Mol. 2017 May-Jun;36(3):189-193. doi: 10.1016/j.remn.2016.04.010. Epub 2016 Jun 18.
The coexistence of different bone diseases in the same patient involves a complex differential diagnosis. A patient is presented who was studied due to a renal mass that showed many sclerotic lesions in spine and limbs in conventional radiology and CT. These lesions were evaluated with TC-HDP bone scintigraphy and F-FDG PET/CT, which helped to obtain the definitive pathological diagnosis of osteopoikilosis (OP) co-existing with gastric cancer bone metastases. Of the different imaging scans performed, bone scintigraphy was particularly relevant due to its ability to discriminate between benign and metastatic bone disease.
