title: Unusual presentation of solitary bone metastasis from breast carcinoma mimicking acute osteomyelitis of the left midtibial shaft.
abstract: The authors report an unusual presentation of a solitary bone metastasis in the left midtibial shaft with no other skeletal involvement in a patient with breast carcinoma. The incidence of solitary bone metastasis below the knees is rare. Clinically, the lesion was tender when palpated. A bone scan revealed increased blood flow and blood pool activity, with intense midtibial bony uptake in delayed images. These findings are similar to those of acute osteomyelitis. Biopsy revealed bony metastasis from the patient's breast carcinoma.
authors.affiliation: Saint Vincents Hospital and Medical Center of New York, New York 10011, USA.
authors.forename: S S
authors.initials: SS
authors.lastname: Salem
authors.forename: S
authors.initials: S
authors.lastname: Heiba
authors.forename: J
authors.initials: J
authors.lastname: Santiago
authors.forename: S
authors.initials: S
authors.lastname: Jana
authors.forename: G K
authors.initials: GK
authors.lastname: Goswami
authors.forename: G
authors.initials: G
authors.lastname: Buyukdereli
authors.forename: H M
authors.initials: HM
authors.lastname: Abdel-Dayem
mesh_terms: D000208:Acute Disease; D001706:Biopsy; D001859:Bone Neoplasms / Q000000981:diagnostic imaging / Q000556:secondary*; D001943:Breast Neoplasms / Q000473:pathology*; D002277:Carcinoma / Q000000981:diagnostic imaging / Q000556:secondary*; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008875:Middle Aged; D010019:Osteomyelitis / Q000000981:diagnostic imaging*; D011877:Radionuclide Imaging; D019275:Radiopharmaceuticals; D013669:Technetium Tc 99m Medronate; D013977:Tibia / Q000000981:diagnostic imaging*; D014916:Whole-Body Irradiation
chemical_list: D019275:Radiopharmaceuticals; D013669:Technetium Tc 99m Medronate