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Calcified hepatic metastases from prostatic carcinoma

Case contributed by Sepehr Haghighi
Diagnosis almost certain

Presentation

Known case of prostatic cancer with abdominal pain

Patient Data

Age: 65 years
Gender: Male

Multiple variable size calcified masses are seen in liver parenchyma which some of them have hypodense rim.

Multiple para-aortic, aorto-caval and right external iliac chain lymphadenopathies are seen.

The prostatic gland is prominent.

Accumulation of tracer in the liver at the site of calcified metastases in SPECT images confirmed the presence of osteoclasts.

Case Discussion

Calcified liver metastases are usually associated with metastatic mucinous adenocarcinoma (gastric or other parts of alimentary system). Very rarely, prostatic cancer gives rise to ossifying liver metastasis 1. Based on activity on the nuclear imaging, these lesions are not just calcified but actively ossifying.

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