title: [Atypical bone metastases in prostate cancer].
abstract: Two cases of prostatic cancer with single bone metastasis in the tibia are discussed. The intense uniform involvement of a solitary limb bone with high perfusion and blood pool activity in the 3-phase bone scan and the positive white blood cell scan (observed in one case) were not typical for a metastatic bone lesion. Conventional radiomorphology--lamellar, periosteal reaction, disseminated medullar sclerosis, no localized lesion--also led to other differential considerations such as osteomyelitis and malignant lymphoma, which could not be specified by CT and MRI. Even if there is no typical morphology in scintigraphic and radiologic imaging, biopsy should be performed to exclude bone metastasis in prostatic cancer.
authors.affiliation: Klinik und Poliklinik für Nuklearmedizin, Westfälische Wilhelms-Universität Münster.
authors.forename: J
authors.initials: J
authors.lastname: Sciuk
authors.forename: B
authors.initials: B
authors.lastname: Kirchner
mesh_terms: D000236:Adenoma / Q000000981:diagnostic imaging / Q000556:secondary*; D000368:Aged; D001859:Bone Neoplasms / Q000000981:diagnostic imaging / Q000556:secondary*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D011471:Prostatic Neoplasms / Q000175:diagnosis* / Q000000981:diagnostic imaging; D011877:Radionuclide Imaging; D013669:Technetium Tc 99m Medronate; D013977:Tibia; D014057:Tomography, X-Ray Computed
chemical_list: D013669:Technetium Tc 99m Medronate
vernacular_title: Atypische Skelettmetastasierung bei Prostatakarzinom.