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Metastasis of femoral osteosarcoma to the abdominal wall detected on 99m Tc-MDP skeletal scintigraphy

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Abstract

Osteosarcoma is the most frequent primary malignancy of bone, and usually metastasizes to the lung and bones, while other sites are rare. In most reported cases, soft tissue metastasis of osteosarcoma is unusual, and only develops in the advanced stages of the disease, especially following multiple recurrences. We present a patient with recently diagnosed osteosarcoma of the right femur, showing abdominal wall metastasis diagnosed by technetium-99m-methylene diphosphonate (99m Tc-MDP) whole body bone scintigraphy and confirmed histologically. The present case highlights the importance of whole body imaging of patients with osteosarcoma for detecting unusual sites of metastasis, especially in soft tissue organs.

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Authors and Affiliations

  1. Department of Nuclear Medicine, Shohada e Tajrish Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran

    Elahe Pirayesh & Mahasti Amoui

  2. Department of Pathology, Shohada e Tajrish Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran

    Azadeh Rakhshan

  3. Department of Radiation Oncology, Shohada e Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran

    Afshin Rakhsha

  4. Department of Nuclear Medicine, Shafa Yahyaian Medical Center, Tehran University of Medical Sciences, Tehran, Iran

    Ali Shafie Poor

  5. The Persian Gulf Nuclear Medicine Research Center, The Persian Gulf Biomedical Sciences Institute, Bushehr University of Medical Sciences, Boostan 19 Alley, Sangi Street, Bushehr, Iran

    Majid Assadi

Authors
  1. Elahe Pirayesh
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  2. Azadeh Rakhshan
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  3. Mahasti Amoui
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  4. Afshin Rakhsha
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  5. Ali Shafie Poor
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  6. Majid Assadi
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Correspondence to Majid Assadi.

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Pirayesh, E., Rakhshan, A., Amoui, M. et al. Metastasis of femoral osteosarcoma to the abdominal wall detected on 99m Tc-MDP skeletal scintigraphy. Ann Nucl Med 27, 478–480 (2013). https://doi.org/10.1007/s12149-013-0708-6

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  • DOI: https://doi.org/10.1007/s12149-013-0708-6

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