title: A case of pathologic fracture of femur whose primary tumor and occult metastases were ascertained by PET-CT.
abstract: We report a case of metastatic pathologic fracture of femoral shaft, whose primary cancer was ascertained by positron emission tomography-computed tomography (PET-CT). The abnormally increased biological activity of the space-occupying lesion of the lung was clearly demonstrated by PET-CT. Moreover, the occult bony metastatic lesions were confirmed with evidence of altered biologic activity. The PET-CT should be regarded as a valuable work-up tool for the orthopaedic management of metastatic pathologic fracture of a skeleton, all-the-more as a functional metabolic imaging tool.
authors.affiliation: Department of Orthopaedic Surgery, National Police Hospital, 58, Garakbon-dong, Songpa-gu, Seoul 138-161, South Korea. jadeboy@kornet.net
authors.forename: Jae Ho
authors.initials: JH
authors.lastname: Yoo
authors.forename: Bo Kyu
authors.initials: BK
authors.lastname: Yang
authors.forename: Jin Hong
authors.initials: JH
authors.lastname: Kim
authors.forename: Soyon
authors.initials: S
authors.lastname: Kim
authors.forename: Eun Sil
authors.initials: ES
authors.lastname: Kim
mesh_terms: D000369:Aged, 80 and over; D001859:Bone Neoplasms / Q000175:diagnosis* / Q000556:secondary; D005269:Femur; D005598:Fractures, Spontaneous / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008175:Lung Neoplasms / Q000000981:diagnostic imaging* / Q000473:pathology; D008297:Male; D049268:Positron-Emission Tomography; D014057:Tomography, X-Ray Computed