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Osteoblastic bone metastases from breast cancer

Case contributed by: Dr Roberto Schubert

Presentation:

A 46 year old lady with known breast cancer and back pain was referred for bone scintigraphy and thoraco-abdominal CT.

From the case: Osteoblastic bone metastases from breast cancer
Modality: Nuclear medicine
  • <p>Fig. 1</p> Bone scintigram 2.5 h after iv injection of 500 MBq 99mTc-DPD.

Fig. 1

Bone scintigram 2.5 h after iv injection of 500 MBq 99mTc-DPD.
From the case: Osteoblastic bone metastases from breast cancer
Modality: CT
  • <p>Fig. 3</p> Four representative transverse CT sections of the lower thoracic spine (bone window).

non-contrast

Fig. 3

Four representative transverse CT sections of the lower thoracic spine (bone window).

Case Discussion:

Multiple foci of enhanced osteblastic activity were detected corresponding to hyper-attenuating metastases on CT. Pure osteoblastic lesions are unusual for breast cancer metastases.

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