Exuberant sclerotic metastasis: carcinoma of the prostate
Presentation
Known carcinoma of the prostate with left groin pain
Patient Data
Age: 85
Gender: Male
From the case:
Exuberant sclerotic metastasis: carcinoma of the prostate
CT
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Axial bone window
Sclerotic mass in the left pubic rami with exuberant new bone formation.
From the case:
Exuberant sclerotic metastasis: carcinoma of the prostate
Nuclear medicine
Whole body bone
Multiple foci of abnormal isotope uptake throughout the axial skeleton including the left pubic rami (arrows). Note the full bladder full of excreted isotope. The patient was unable to empty the bladder due to prostate enlargement.
Case Discussion
Bone metastases from prostate cancer are usually sclerotic but rarely associated with such dramatic new bone formation.
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