Skull metastasis

Case contributed by Anil Kumar Geetha Virupakshappa
Diagnosis almost certain



Patient Data

Age: 60 years
Gender: Female

Multiple sclerotic lesions are noted involving calvarial bones. No bony destruction or soft tissue component.

Brain parenchyma appears normal.

Nuclear medicine

Areas of increased radiotracer uptake are noted involving the calvarial bones, ribs, spinal vertebrae, scapula, pelvic bones, and femora on bone scan suggestive of skeletal metastasis.

Case Discussion

Sclerotic metastases are usually from breast or prostate cancer.

The patient gave a history of treated breast cancer 5 years ago, lost for follow-up, and later confirmed to be a metastatic recurrence.

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