title: Multiple Bony Metastatic Lesions and Evaluation of Primary: Case Records of a Cancer Research Centre.
abstract: During 2012-13, we diagnosed 4 patients with extensive skeletal tuberculosis (TB) who were referred to us as cases of bony metastasis with unknown primary. Radiological investigations done outside favoured a diagnosis of disseminated malignancy. Positron emission tomography/computed tomography (PET/CT) scan performed in our institute for localization of primary lesion also suggested metastatic disease. There was no evidence of malignancy on histo-pathological examination (HPE) of the involved sites. The diagnosis of TB was established on characteristics HPE. This article highlights the diagnostic dilemma of PET/CT in cases of TB versus malignancy and the importance of HPE for reaching an accurate diagnosis.
authors.affiliation: Department of Medical Oncology, Dharamshila Hospital & Research Centre, Vasundhara Enclave, New Delhi, 110096 India ; 79, Sector 12, Dwarka, New Delhi 110078 India.
authors.forename: Deepak
authors.initials: D
authors.lastname: Sundriyal
authors.affiliation: Department of Medical Oncology, Dharamshila Hospital & Research Centre, Vasundhara Enclave, New Delhi, 110096 India.
authors.forename: Nikhil
authors.initials: N
authors.lastname: Shirsi
authors.affiliation: Department of Nuclear Medicine, Dharamshila Hospital & Research Centre, New Delhi, 110096 India.
authors.forename: Arun
authors.initials: A
authors.lastname: Gera
authors.affiliation: Department of Radiology, Dharamshila Hospital & Research Centre, New Delhi, 110096 India.
authors.forename: Satish
authors.initials: S
authors.lastname: Bansal
authors.affiliation: Department of Pathology, Dharamshila Hospital & Research Centre, New Delhi, 110096 India.
authors.forename: Sumedha
authors.initials: S
authors.lastname: Kotwal
authors.affiliation: Department of Pathology, Dharamshila Hospital & Research Centre, New Delhi, 110096 India.
authors.forename: Ramesh
authors.initials: R
authors.lastname: Dawar
keywords: Bony metastasis; PET-CT; Skeletal tuberculosis