Bilateral Paget disease of the calcaneus diagnosed by conventional bone scintigraphy.
An 85-year-old woman who had an invasive ductal carcinoma of the breast and elevated alkaline phosphatases (420 U/L) was referred for Tc-99m MDP bone scintigraphy for initial evaluation of skeletal metastases. Bone symptoms were limited to chronic pain in both knees. A bone scan revealed pagetoid findings in both calcanei. Feet and toes on plain x-rays of the calcaneus were unremarkable. Findings were stable in the 2-year follow up, excluding other potential diagnosis as extensive metastases or stress fractures.
Duch
Joan
J
Department of Nuclear Medicine, Hospital Clínic de Barcelona, Barcelona, Spain.
Fuster
David
D
Ortín
Jaime
J
Setoain
Xavier
X
Pons
Francesca
F
D000369:Aged, 80 and over; D002111:Calcaneus / Q000000981:diagnostic imaging*; D005260:Female; D006801:Humans; D010001:Osteitis Deformans / Q000000981:diagnostic imaging*; D011877:Radionuclide Imaging; D019275:Radiopharmaceuticals; D013669:Technetium Tc 99m Medronate; D051598:Whole Body Imaging
D019275:Radiopharmaceuticals; D013669:Technetium Tc 99m Medronate