From the Department of Nuclear Medicine, The Third Hospital, Hebei Medical University, Shijiazhuang, Hebei, People's Republic of China.
Clin Nucl Med. 2017 Jul;42(7):549-550. doi: 10.1097/RLU.0000000000001621.
A 45-year-old man with a history of adenocarcinoma in the right lung 3 years ago underwent a Tc-MDP bone scan to evaluate possible osseous metastasis. The images demonstrated intense activity in the region of left thumb, while the tracer uptakes in other bones were not typical of metastases. A CT of the hand showed diffuse sclerotic changes with destructed trabecular structure in the proximal phalanx of the left thumb. The left thumb was subsequently resected, and the pathological examination of the resected left first metacarpal bone confirmed the diagnosis of metastasis of lung adenocarcinoma.
一位 45 岁男性，3 年前右肺腺癌病史，行 Tc-MDP 骨扫描评估可能的骨转移。图像显示左手拇指区域有强烈的放射性摄取，而其他骨骼的示踪剂摄取不典型转移。手部 CT 显示左手拇指近节骨弥漫性硬化性改变，骨小梁结构破坏。左手拇指随后被切除，切除的左手第一掌骨的病理检查证实为肺腺癌转移。
