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Testicular lymphoma with bone/bone marrow metastases illustrated by scrotal sonography, spinal MRI, and total body Tc-99m HMDP and Tc-99m MIBI imagines

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Abstract

An 83-year-old man with testicular lymphoma demonstrated progressive scrotal enlargement with non-homogeneity sonographically and abnormally increased uptake in the scrotum of Tc-99m HMDP and Tc-99m MIBI scintigraphically. Extensive bone/bone marrow metastases were exhibited by Tc-99m MIBI and Tc-99m HMDP scintigraphies and MRI of the spine. In addition, focal/tubular activity of the femoral bone marrow on Tc-99m MIBI imaging was consistent with skeletal scintigraphic findings. It is emphasized that Tc-99m MIBI total body imaging enabled the demonstration of testicular lymphoma as increased uptake and the illustration of skeletal/bone marrow metastases as diffuse and/or focal increased uptake, especially focal/tubular MIBI activity of the femoral marrow.

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Authors and Affiliations

  1. Nuclear Medicine Service, VA Medical Center, 40511, Lexington, KY, USA

    Wei-Jen Shih

  2. Medical Service, Lexington VA Medical Center, USA

    Deborh S. Kwolek

  3. Radiology Service, Lexington VA Medical Center, USA

    Barbara Lahr

  4. Nuclear Medicine Section, Department of Diagnostic Radiology and Department of Medicine, University of Kentucky Medical Centers, Kentucky, USA

    Wei-Jen Shih, Deborh S. Kwolek & Barbara Lahr

Authors
  1. Wei-Jen Shih
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  2. Deborh S. Kwolek
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  3. Barbara Lahr
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Shih, WJ., Kwolek, D.S. & Lahr, B. Testicular lymphoma with bone/bone marrow metastases illustrated by scrotal sonography, spinal MRI, and total body Tc-99m HMDP and Tc-99m MIBI imagines. Ann Nucl Med 13, 293–297 (1999). https://doi.org/10.1007/BF03164866

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  • DOI: https://doi.org/10.1007/BF03164866

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