Prostate cancer skeletal metastases - superscan

Case contributed by Henry Knipe

Presentation

History withheld.

Patient Data

Age: 65 years
Gender: Male

99mTc MDP

Nuclear medicine

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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