title: Paget sarcoma of the pelvic bone with widespread metastatic disease on radiography, CT, MRI, and 18F-FDG PET/CT with pathologic correlation.
abstract: We report a case of Paget sarcoma of the left superior pubic ramus and disseminated metastatic disease in a 70-year-old man. Paget disease of the left hemipelvis with malignant degeneration in the region of the left superior pubic ramus was initially diagnosed on radiographs. Subsequent CT, MRI, PET/CT imaging, and CT-guided biopsy confirmed the diagnosis and showed extensive left-sided pelvic and abdominal lymphadenopathy with widespread metastatic disease to liver, spleen, and lungs.
authors.affiliation: From the *Departments of Medical Imaging and †Pathology, The University of Arizona Health Network, Tucson, AZ.
authors.forename: Michael A
authors.initials: MA
authors.lastname: Davis
authors.forename: Luke R
authors.initials: LR
authors.lastname: Scalcione
authors.forename: Lana H
authors.initials: LH
authors.lastname: Gimber
authors.forename: Rebecca B
authors.initials: RB
authors.lastname: Thompson
authors.forename: Ryan J
authors.initials: RJ
authors.lastname: Avery
authors.forename: Mihra S
authors.initials: MS
authors.lastname: Taljanovic
mesh_terms: D000368:Aged; D019788:Fluorodeoxyglucose F18; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D064847:Multimodal Imaging; D009362:Neoplasm Metastasis; D010001:Osteitis Deformans / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology*; D010384:Pelvic Bones; D049268:Positron-Emission Tomography; D012509:Sarcoma / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology*; D014057:Tomography, X-Ray Computed
chemical_list: D019788:Fluorodeoxyglucose F18