Skip to main content
Log in

Extraosseous localization of 99mTc-MDP in ganglioneuroblastoma

  • Case Reports
  • Published:
European Journal of Nuclear Medicine Aims and scope Submit manuscript

Abstract

A 21/2-year-old boy with a posterior mediastinal ganglioneuroblastoma was evaluated by bone scintigraphy using 99mTc-MDP and showed a marked increased uptake in the tumor mass. Although a routine chest X-ray and body CT scan failed to demonstrate calcification, X-ray examination of the removed tumor specimen revealed small scattered calcification. The proposed mechanisms of the radiopharmaceutical localization in benign and malignant tumors other than calcification/mineralization are discussed. Regardless of the mechanism, localization of a bone scanning agent in a tumor provides a rapid, simple, and noninvasive means of demonstrating tumor size, configuration, and the relation of the surrounding structures to the tumor.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Baum SN, Lyons KP, Wu SY, Guykin SC (1981) Atlas of Nuclear Medicine Imaging. Appleton-Century-Crafts, New York, pp 203–204

    Google Scholar 

  2. Bell EG (1975) The skeleton in nuclear medicine. In:Wang H (ed) Publishing Co, In, New York, p 187

    Google Scholar 

  3. Chadhuri Tapan K, Chadhuri Tukin K, Charade JH (1974) Tumor uptake of Tc-polyphosphate; its similarity with Sr-87m citrate and dissimilarity with Ga67 citrate. JNM 15:458–459

    Google Scholar 

  4. Chew GS, Hudson TM (1980) Radionuclide imaging of lipoma and liposarcoma. Radiology 136:741–745

    Article  CAS  Google Scholar 

  5. Christensen SB, Kryogsgaard O (1981) Localization of Tc-99m MDP in epiphyseal growth plates of rats. JNM 22:237–245

    CAS  PubMed  Google Scholar 

  6. Costello P, Gramm HF, Steinberg D (1977) Simultaneous occurrence of functional asplenia and splenic accumulation of diphosphonate in metastatic breast carcinoma. JNM 18:1237–1238

    CAS  PubMed  Google Scholar 

  7. Ell PJ, Breitfellner G, Meixner M (1976) Tc-99m HEDP concentration in calcified myoma. JNM 17:323–324

    CAS  PubMed  Google Scholar 

  8. Fitzer PM (1974) Tc-99m polyphosphate concentration in a neuroblastoma. JNM 15:904–906

    CAS  PubMed  Google Scholar 

  9. Gates GF (1976) Ovarian carcinoma imaged by Tc-99m pyrophosphate: case report JNM 17:29–30

    CAS  PubMed  Google Scholar 

  10. Ghead N, Thrall JH, Pinsky SM, Johnson MC (1974) Detection of extraosseous metastases from osteosarcoma with Tc-99m polyphosphonate bone scanning. Radiology 112:373–375

    Article  Google Scholar 

  11. Gilday DL, Ash JM, Reilly BJ (1977) Radionuclide skeletal survey for pediatric neoplasm. Radiology 123:399–406

    Article  CAS  Google Scholar 

  12. Hardy JG, Anderson GS, Newble GM (1976) Uptake Tc-99m pyrophosphate by extragenital seminoma. JNM 17:1105–1106

    CAS  PubMed  Google Scholar 

  13. Howman-Giles RB, Gilday DL, Ash JM (1979) Radionuclide skeletal in neuroblastoma. Radiology 131:497–502

    Article  CAS  Google Scholar 

  14. Lowenthal IS, Tow DE, Chang YC (1975) Accumulation of Tc-99m polyphosphate in two squamous cell carcinomas of lung. JNM 16:1021–1032

    CAS  PubMed  Google Scholar 

  15. McCartney W, Nusynowitz ML, Remann Bef, Frather J, Mazat B (1976) Tc-99m diphosphonate uptake in neuroblastoma. AJR 126:1077–1081

    Article  CAS  Google Scholar 

  16. Nolan NG (1974) Intense uptake of Tc-99m diphosphate by an extraosseous neurofibroma. JNM 15:1207–1209

    CAS  PubMed  Google Scholar 

  17. Poulose KD, Reba RC, Eckelman WC, Goodyear M (1975) Extraosseous localization of Tc-99m Sn pyrophosphate. Br J Radiol 48:724–726

    Article  CAS  Google Scholar 

  18. Reed JC, Hallet KK, Feigen DS (1978) Neural tumors of the thorax. Subject review from AFIP. Radiology 126:9–17

    Article  CAS  Google Scholar 

  19. Richman LS, Gumerman LW, Levine G, Sartiano GP, Boggs SS (1975) Localization of Tc-99m polyphosphate in soft tissue malignancies. AJR 124:577–587

    Article  CAS  Google Scholar 

  20. Rosenfeld N, Treves S (1974) Osseous and extraosseous uptake of fluorine-18 and Tc-99m polyphosphate in children with neuroblastama. Radiology 111:127–133

    Article  Google Scholar 

  21. Schmitt GH, Holmes RA, Isitman AT, Hensley GT, Lewis JD (1974) A proposed mechanism for 99m Tc-labeled polyphosphate-A diphosphonate uptake by human breast tissue. Radiology 112:733–735

    Article  CAS  Google Scholar 

  22. Siegel BA, Alazraki NP, Davis MA, Jones AG, Marty R, McNeil BJ (1980) Skeletal system. Kirchner PT (ed) Nuclear Medicine Review Syllabus Society of Nucl Medicine, pp 578–579

  23. Siegel ME, Walker WJ, Campbell JL (1975) Accumulation of Tc-99m diphosphonate in malignant pleural effusion: Detection and verification. JNM 16:883–885

    CAS  PubMed  Google Scholar 

  24. Sills M, Pozdera RV (1974) Early diagnosis of Pancoast's tumor facilitated by bone scanning. Radiology 113:391–392

    Article  CAS  Google Scholar 

  25. Sty JR, Starshak RJ, Oechler HW (1981) Extraosseous uptake of Tc-99m-MDP in congenital fibromatosis. Clin Nucl Med 6:123

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Shih, WJ., DeLand, F.H., Domstad, P.A. et al. Extraosseous localization of 99mTc-MDP in ganglioneuroblastoma. Eur J Nucl Med 7, 336–338 (1982). https://doi.org/10.1007/BF00253434

Download citation

  • Received:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00253434

Keywords

Navigation