Shih W J, Magoun S, Lahar B, Stipp V, Gross K
Nuclear Medicine Service, Veterans Administration Medical Center, Lexington, Kentucky 40511-1093, USA.
J Nucl Med Technol. 1998 Jun;26(2):91-3.
A patient with initial complaints of leg pain and difficulty walking was found to have a large right tibial metastatic tumor and poorly differentiated adenocarcinoma of the lung. Findings from total-body bone scintigraphy include a large area of increased uptake in the proximal half of the right tibia with a photon-deficient area medially, and focal areas of uptake in a right rib, in the femoral neck and the left ileum. An irregular area of increased uptake in the left lung mass was shown by thoracic bone SPECT. This is an unusual case of a tibial metastasis as the first clinical presentation of bronchogenic adenocarcinoma.
一名最初主诉腿痛和行走困难的患者被发现患有右胫骨大的转移性肿瘤和低分化肺腺癌。全身骨闪烁扫描结果显示，右胫骨近端上半部分有一大片摄取增加区域，内侧有光子缺乏区，右肋骨、股骨颈和左髂骨有局灶性摄取区域。胸部骨SPECT显示左肺肿块有不规则的摄取增加区域。这是一例不寻常的病例，胫骨转移是支气管源性腺癌的首次临床表现。
