Superscan due to metastatic prostate cancer

Case contributed by Dr Zeyad Al-Ogaili

Presentation

Prostate cancer. On chemo and hormonal therapy. Follow up bone scan.

Patient Data

Age: 75 years
Gender: Male

The initial staging study demonstrate multiple, irregular, randomly distributed foci of hight grade activity involving the spine, ribs, sternum, pelvic and femoral bones. The findings are in keeping with multiple osteoblastic metastasis.

The follow up bone scan shows uniform increased density of the axial and proximal appendicular skeleton resulting in excellent bone detail. The previously seen multiple discrete lesions are no longer appreciable. There is, however, no significant renal or soft tissue activity. The findings are consistent with "Super Scan" due to extensive osteoblastic metastasis.

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