title: Skeletal Metastasis From Carcinoma of the Gall Bladder: Need for Bone Scintigraphy Justified?
abstract: BACKGROUND
  Carcinoma of the gall bladder has a guarded prognosis with predominant sites of involvement being liver and regional nodes. Osseous metastasis in carcinoma of the gall bladder is rare and hence bone scintigraphy does not form a part of the routine work-up for such patients.
  
  
  METHODS
  We describe two patients with carcinoma of the gall bladder with osteolytic metastasis (stage 4). Conservative treatment was planned but both of them succumbed to the illness.
  
  
  CONCLUSIONS
  We thus highlight the importance of performing a bone scan or PET CT in cases of carcinoma of the gall bladder. Besides, our cases challenge Paget's seed - soil theory for sites of metastasis.
authors.affiliation: Department of Radiology, King Edward Memorial Hospital and Seth Gordhandas Sunderdas Medical College, Mumbai, India.
authors.forename: Yashant
authors.initials: Y
authors.lastname: Aswani
authors.affiliation: Department of Radiology, King Edward Memorial Hospital and Seth Gordhandas Sunderdas Medical College, Mumbai, India.
authors.forename: Priya
authors.initials: P
authors.lastname: Hira
keywords: Gallbladder Neoplasms; Neoplasm Metastasis; Prognosis