Prostate cancer skeletal metastases: superscan

Case contributed by Dr Henry Knipe

Presentation

History withheld.

Patient Data

Age: 65 years
Gender: Male
Nuclear medicine

99mTc MDP

Diffusely heterogeneous and markedly increased uptake involving the skull, shoulder girdles, spine, thoracic cage, pelvis and proximal femurs. Lack of uptake in the kidneys. 

Diffuse sclerotic metastases throughout the imaged skeleton. Small bilateral pleural effusions. 

Case Discussion

Superscan appearance can sometimes be difficult to spot but is easy to make when the absent renal uptake is noticed. There are two main differentials - diffuse skeletal metastases and hyperparathyroidism. 

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Case information

rID: 45759
Case created: 7th Jun 2016
Last edited: 7th Jun 2016
Inclusion in quiz mode: Included

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