Synchronous osseous metastasis, degenerative changes, and incidental multifocal Paget's disease in a case of newly diagnosed prostatic carcinoma

Tc-99m methylene diphosphonate bone scintigraphy (bone scan) is a highly sensitive technique for the evaluation of osseous pathology. However, the nonspecificity of the method can present diagnostic challenges in differentiating benign from malignant processes. Often, Paget's disease and osseou...

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Main Authors: Robert Devita, Kaushik Chagarlamudi, Arash Kardan
Format: Article
Language:English
Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2020-04-01
Series:World Journal of Nuclear Medicine
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.4103/wjnm.WJNM_63_19
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author Robert Devita
Kaushik Chagarlamudi
Arash Kardan
author_facet Robert Devita
Kaushik Chagarlamudi
Arash Kardan
author_sort Robert Devita
collection DOAJ
description Tc-99m methylene diphosphonate bone scintigraphy (bone scan) is a highly sensitive technique for the evaluation of osseous pathology. However, the nonspecificity of the method can present diagnostic challenges in differentiating benign from malignant processes. Often, Paget's disease and osseous metastasis can coexist in elderly patients. Therefore, it is important to accurately distinguish the two pathologies, as each has a different prognosis and impacts clinical management. Obtaining the appropriate clinical diagnosis often involves a combination of laboratory, radiographic, and clinical data. We present a case of newly diagnosed prostatic carcinoma presenting with synchronous osseous metastasis, degenerative changes, and incidental multifocal Paget's disease.
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issn 1450-1147
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language English
publishDate 2020-04-01
publisher Thieme Medical and Scientific Publishers Pvt. Ltd.
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series World Journal of Nuclear Medicine
spelling doaj-art-ffe9ff109b0443ae87afe782bc0328912025-08-20T02:54:42ZengThieme Medical and Scientific Publishers Pvt. Ltd.World Journal of Nuclear Medicine1450-11471607-33122020-04-01190214414610.4103/wjnm.WJNM_63_19Synchronous osseous metastasis, degenerative changes, and incidental multifocal Paget's disease in a case of newly diagnosed prostatic carcinomaRobert Devita0Kaushik Chagarlamudi1Arash Kardan2Department of Radiology, University Hospitals Cleveland Medical Center, Cleveland, OH, USADepartment of Radiology, University Hospitals Cleveland Medical Center, Cleveland, OH, USADepartment of Radiology, University Hospitals Cleveland Medical Center, Cleveland, OH, USATc-99m methylene diphosphonate bone scintigraphy (bone scan) is a highly sensitive technique for the evaluation of osseous pathology. However, the nonspecificity of the method can present diagnostic challenges in differentiating benign from malignant processes. Often, Paget's disease and osseous metastasis can coexist in elderly patients. Therefore, it is important to accurately distinguish the two pathologies, as each has a different prognosis and impacts clinical management. Obtaining the appropriate clinical diagnosis often involves a combination of laboratory, radiographic, and clinical data. We present a case of newly diagnosed prostatic carcinoma presenting with synchronous osseous metastasis, degenerative changes, and incidental multifocal Paget's disease.http://www.thieme-connect.de/DOI/DOI?10.4103/wjnm.WJNM_63_19bone scintigraphyosseous metastasispaget's diseaseprostate carcinoma
spellingShingle Robert Devita
Kaushik Chagarlamudi
Arash Kardan
Synchronous osseous metastasis, degenerative changes, and incidental multifocal Paget's disease in a case of newly diagnosed prostatic carcinoma
World Journal of Nuclear Medicine
bone scintigraphy
osseous metastasis
paget's disease
prostate carcinoma
title Synchronous osseous metastasis, degenerative changes, and incidental multifocal Paget's disease in a case of newly diagnosed prostatic carcinoma
title_full Synchronous osseous metastasis, degenerative changes, and incidental multifocal Paget's disease in a case of newly diagnosed prostatic carcinoma
title_fullStr Synchronous osseous metastasis, degenerative changes, and incidental multifocal Paget's disease in a case of newly diagnosed prostatic carcinoma
title_full_unstemmed Synchronous osseous metastasis, degenerative changes, and incidental multifocal Paget's disease in a case of newly diagnosed prostatic carcinoma
title_short Synchronous osseous metastasis, degenerative changes, and incidental multifocal Paget's disease in a case of newly diagnosed prostatic carcinoma
title_sort synchronous osseous metastasis degenerative changes and incidental multifocal paget s disease in a case of newly diagnosed prostatic carcinoma
topic bone scintigraphy
osseous metastasis
paget's disease
prostate carcinoma
url http://www.thieme-connect.de/DOI/DOI?10.4103/wjnm.WJNM_63_19
work_keys_str_mv AT robertdevita synchronousosseousmetastasisdegenerativechangesandincidentalmultifocalpagetsdiseaseinacaseofnewlydiagnosedprostaticcarcinoma
AT kaushikchagarlamudi synchronousosseousmetastasisdegenerativechangesandincidentalmultifocalpagetsdiseaseinacaseofnewlydiagnosedprostaticcarcinoma
AT arashkardan synchronousosseousmetastasisdegenerativechangesandincidentalmultifocalpagetsdiseaseinacaseofnewlydiagnosedprostaticcarcinoma