Postgastrectomy osteomalacia with pseudofractures assessed by repeated bone scintigraphy
| Autor: | Masanari Kageyama, Yi-Wei Wu, Masao Kakishita, Masashi Shimizu, Hikaru Seto, Naoto Watanabe |
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| Rok vydání: | 1995 |
| Předmět: |
Male
medicine.medical_specialty Bone disease Radiography medicine.medical_treatment Bone Neoplasms Technetium Tc 99m Medronate Bone and Bones vitamin D deficiency Diagnosis Differential Fractures Bone Postoperative Complications Gastrectomy Stomach Neoplasms medicine Humans Radiology Nuclear Medicine and imaging Radionuclide Imaging Osteomalacia medicine.diagnostic_test business.industry Cancer General Medicine Middle Aged Vitamin D Deficiency medicine.disease Bone scintigraphy Radiology business After treatment |
| Zdroj: | Annals of Nuclear Medicine. 9:29-32 |
| ISSN: | 1864-6433 0914-7187 |
| DOI: | 10.1007/bf03165005 |
| Popis: | A patient with osteomalacia secondary to vitamin D deficiency after gastrectomy for gastric cancer is presented. Initial bone scintigrams showed both asymmetric and symmetric focal areas of intense uptake due to pseudofractures reminiscent of bone metastases. Radiographs only confirmed the presence of pseudofractures at some, but not all, of the abnormal sites demonstrated by bone scintigraphy. At first, metastatic bone disease was suspected. However, the appearance of repeated bone scintigram was normalized after treatment with vitamin D. A diagnosis of osteomalacia was established. The present case serves to illustrate that symmetric focal lesions are important features of pseudofractures secondary to osteomalacia, and comparison with radiographs and repeated bone scintigraphy are necessary in distinguishing between bone metastases and pseudofractures. |
| Databáze: | OpenAIRE |
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