Open AccessOsteogenic sarcoma presenting with skip, lymph nodal, pulmonary, pleural metastases and malignant effusion: An unusual appearance on bone scan
Author(s) -
Neeraja Bollampally,
Venkata Subramanian Krishnaraju,
Anil K. Sood,
Sameer Aggarwal,
Bhagwant Rai Mittal
Publication year - 2021
Publication title -
indian journal of nuclear medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.261
H-Index - 13
eISSN - 0972-3919
pISSN - 0974-0244
DOI - 10.4103/ijnm.ijnm_177_20
Subject(s) - medicine , sarcoma , pleural effusion , bone scintigraphy , osteosarcoma , radiology , pathology , lymph node , lung , ossification , malignant pleural effusion , surgery
Osteogenic sarcoma is an aggressive malignant bone tumor arising from primitive mesenchymal bone-forming cells. Ossification is the characteristic feature of the metastases in osteosarcoma which aids their detection on 99m Tc-MDP bone scintigraphy. Although lung is the most common site of metastasis in osteogenic sarcoma, pleural involvement with effusion and skip metastases are rare. Herein, we report a case of osteogenic sarcoma of distal femur with diffuse calcified pleural thickening leading to malignant pleural effusion, calcified lung, lymph node, and bone metastases illustrated on bone scan.