title: Co-existent Paget's Disease of the Bone, Prostate Carcinoma Skeletal Metastases and Fracture on Skeletal Scintigraphy-Lessons to be Learned.
abstract: Bone scintigraphy, despite being non-specific, is a very sensitive and simple investigation for patients with active Paget's disease of the bone. Skeletal metastases and Paget's disease may co-exist in the elderly patients as both conditions are commonly seen in this age group. Clinical and radiological correlation may help to improve the diagnostic specificity of a bone scintigram. We report a patient in whom concurrent Paget's disease and a rib fracture became evident only on repeat scintigraphy following successful treatment of prostate carcinoma skeletal metastases.
  
  
  BACKGROUND
  None declared.
authors.affiliation: Addenbrooke's Hospital, Department of Nuclear Medicine, Cambridge, CB2 0QQ, United Kingdom.
authors.forename: Luke I
authors.initials: LI
authors.lastname: Sonoda
authors.forename: Kottekkattu K
authors.initials: KK
authors.lastname: Balan
keywords: Paget’s disease of bone; bone fractures; neoplasm metastases; prostate cancer; scintigraphy