POEMS syndrome: unusual radiographic, scintigraphic and CT features.
POEMS syndrome is a multisystemic disorder related to a plasma cell dyscrasia. Radiologically, this syndrome is characterized by sclerotic focal bone lesions with a normal radionuclide bone scan. We report a case of POEMS syndrome with an expansile lytic lesion in the sternum showing periosteal reaction and soft tissue mass, which revealed locally increased uptake of radiotracer in bone scintigraphy. These unusual findings and the differential diagnosis are discussed.
Narváez
J A
JA
Department of CT and MR Imaging, Institut de Diagnòstic per la Imatge, Hospital Duran i Reynals, Ciudad Sanitaria y Universitaria de Bellvitge, Autovia de Castelldefels km. 2'7, E-08907 L'Hospitalet de Llobregat, Barcelona, Spain.
Majós
C
C
Narváez
J
J
Valls
C
C
Fernandez-Cabrera
L
L
D001707:Biopsy, Needle; D001853:Bone Marrow / Q000473:pathology; D003937:Diagnosis, Differential; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D016878:POEMS Syndrome / Q000000981:diagnostic imaging* / Q000473:pathology; D011877:Radionuclide Imaging; D013249:Sternum / Q000000981:diagnostic imaging / Q000473:pathology; D014057:Tomography, X-Ray Computed