title: Reasoned approach to multiple osteosclerotic lesions. Combined diagnostic imaging in a case of osteopoikilosis.
abstract: The case of a female patient who had undergone mastectomy for infiltrating ductal carcinoma and come to the Orthopedics Division for lumbosacral pain unresponsive to conventional treatment is discussed. Pelvic X-ray, CT and scintigraphy were performed. The presence of multiple areas of selerosis of the pelvis and proximal femurs were documented. The differential range could be limited to osteoblastic metastasis and osteopoikilosis. The diagnosis of osteopoikilosis was established based on scintigraphy which proved the absence of uptake of the radiotracer.
authors.affiliation: Unità Operativa di Radiologia, Stabilimento Ospedaliero di Corigliano Calabro, Azienda Sanitaria n 3 della Sibaritide (CS), Italy.
authors.forename: Adolfo
authors.initials: A
authors.lastname: Canadè
authors.forename: Alessandro Maria
authors.initials: AM
authors.lastname: Costantini
authors.forename: Francesca
authors.initials: F
authors.lastname: Reale
authors.forename: Paolo
authors.initials: P
authors.lastname: Campioni
authors.forename: Pasquale
authors.initials: P
authors.lastname: Marano
mesh_terms: D000328:Adult; D001859:Bone Neoplasms / Q000175:diagnosis / Q000556:secondary; D001943:Breast Neoplasms / Q000473:pathology / Q000601:surgery; D018270:Carcinoma, Ductal, Breast / Q000556:secondary / Q000601:surgery; D003937:Diagnosis, Differential; D005260:Female; D005269:Femur / Q000000981:diagnostic imaging; D006801:Humans; D008279:Magnetic Resonance Imaging; D010023:Osteopoikilosis / Q000175:diagnosis* / Q000000981:diagnostic imaging; D010384:Pelvic Bones / Q000000981:diagnostic imaging; D011877:Radionuclide Imaging; D014057:Tomography, X-Ray Computed