title: Gastric cancer bone metastases together with osteopoikilosis diagnosed using bone scintigraphy and18F-FDG PET/CT.
abstract: The coexistence of different bone diseases in the same patient involves a complex differential diagnosis. A patient is presented who was studied due to a renal mass that showed many sclerotic lesions in spine and limbs in conventional radiology and CT. These lesions were evaluated with99mTC-HDP bone scintigraphy and18F-FDG PET/CT, which helped to obtain the definitive pathological diagnosis of osteopoikilosis (OP) co-existing with gastric cancer bone metastases. Of the different imaging scans performed, bone scintigraphy was particularly relevant due to its ability to discriminate between benign and metastatic bone disease.
authors.affiliation: Servicio de Medicina Nuclear, Hospital Nisa 9 de Octubre, Valencia, España. Electronic address: pet@hospitales.nisa.es.
authors.forename: S
authors.initials: S
authors.lastname: Prado Wohlwend
authors.affiliation: Servicio de Medicina Nuclear, Hospital Nisa 9 de Octubre, Valencia, España.
authors.forename: R
authors.initials: R
authors.lastname: Sánchez Vaño
authors.affiliation: Servicio de Medicina Nuclear, Hospital Nisa 9 de Octubre, Valencia, España.
authors.forename: P
authors.initials: P
authors.lastname: Sopena Novales
authors.affiliation: Servicio de Medicina Nuclear, Hospital Nisa 9 de Octubre, Valencia, España.
authors.forename: E
authors.initials: E
authors.lastname: Uruburu García
authors.affiliation: Servicio de Radiodiagnóstico, Hospital Nisa 9 de Octubre, Valencia, España.
authors.forename: F
authors.initials: F
authors.lastname: Aparisi Rodríguez
authors.affiliation: Servicio de Medicina Nuclear, Hospital Nisa 9 de Octubre, Valencia, España.
authors.forename: C
authors.initials: C
authors.lastname: Martínez Carsí
mesh_terms: D000368:Aged; D001859:Bone Neoplasms / Q000150:complications / Q000000981:diagnostic imaging* / Q000556:secondary*; D005260:Female; D019788:Fluorodeoxyglucose F18; D006801:Humans; D010023:Osteopoikilosis / Q000150:complications / Q000000981:diagnostic imaging*; D000072078:Positron Emission Tomography Computed Tomography; D011877:Radionuclide Imaging; D019275:Radiopharmaceuticals; D013274:Stomach Neoplasms / Q000473:pathology*
chemical_list: D019275:Radiopharmaceuticals; D019788:Fluorodeoxyglucose F18
keywords: Bone metastases; Bone scintigraphy; Cáncer gástrico; Gammagrafía ósea; Gastric cancer; Metástasis óseas; Osteopoikilosis; Osteopoiquilia; PET