Radiographically Occult Latent Radiogenic Osteosarcoma Uncovered on Tc-99m Methylene-diphosphonate Bone Scintigraphy | Zendy

Prashant Jolepalem | Zendy; Raymond Y. Yeow | Zendy; Diane Cosner | Zendy; John P. Seitz | Zendy

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Radiographically Occult Latent Radiogenic Osteosarcoma Uncovered on Tc-99m Methylene-diphosphonate Bone Scintigraphy

Author(s) -

Prashant Jolepalem,

Raymond Y. Yeow,

Diane Cosner,

John P. Seitz

Publication year - 2013

Publication title -

journal of clinical imaging science

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.279

H-Index - 18

eISSN - 2156-7514

pISSN - 2156-5597

DOI - 10.4103/2156-7514.120786

Subject(s) - medicine , occult , bone scintigraphy , technetium , osteosarcoma , scintigraphy , radiology , nuclear medicine , radiogenic nuclide , prostate cancer , cancer , pathology , isotope , alternative medicine , physics , quantum mechanics

We present a case of a 70-year-old male who was referred for a technetium-99m methylene-diphosphonate bone scan for mild left hip pain and an elevated alkaline phosphatase level of 770 units/L. No additional information was provided and the patient′s history was limited due to a language barrier. We were able to ascertain that the patient had a remote history of prostate cancer, which had been treated with radiation. Originally, we felt the bone scan was compatible with Paget′s disease; however, further work-up revealed the presence of osteosarcoma, which was potentially radiation-induced

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