[Bone metastases in epidural invasion of gastrinoma].
Malignant gastrinoma is a nonbeta islet cell tumor which rarely disseminates to the bone. However, in the case reported herein, diffuse metastatic bone disease with symptomatic epidural spread developed. Somatostatin and 99mTc-HDP bone scans demonstrated hot spots in the same sites, establishing that the bone lesions contained somatostatin receptor. Irradiation was effective in relieving pain.
Clinique de Rhumatologie (Centre Viggo Petersen), Hôpital Lariboisière, Paris.
S
S
Durieux
F
F
Lioté
M A
MA
Timsit
M
M
Duet
P
P
Valleur
V
V
Lemaire
A
A
Dryll
D000328:Adult; D001859:Bone Neoplasms / Q000556:secondary* / Q000628:therapy; D015174:Epidural Neoplasms / Q000556:secondary* / Q000628:therapy; D015408:Gastrinoma / Q000473:pathology / Q000556:secondary* / Q000628:therapy; D006801:Humans; D008159:Lumbar Vertebrae; D008297:Male; D009361:Neoplasm Invasiveness; D010190:Pancreatic Neoplasms / Q000473:pathology* / Q000628:therapy; D013125:Spinal Neoplasms / Q000556:secondary / Q000628:therapy
Métastases osseuses avec extension épidurale d'un gastrinome.