Nishiyama H, Morand T M, Seiwert V J
E. L. Saenger Radioisotope Laboratory, Department of Radiology, University of Cincinnati Medical Center, Ohio.
Clin Nucl Med. 1988 Mar;13(3):179-81. doi: 10.1097/00003072-198803000-00009.
Extensive skeletal involvement of multiple myeloma was detected by Ga-67 citrate imaging while searching for infectious foci. The case was unique in that a radiographic skeletal survey showed typical lytic lesions only in the skull, and extensive myeloma involvement in the skeletal system was an incidental finding. A high tumor cell burden was presumed to be present, which led to a rapid and fulminant clinical course in this patient.
