Skeletal scintigraphy as an important complement for detecting bone metastasis from nasopharyngeal carcinoma

Bone metastasis occurs frequently in patients with nasopharyngeal carcinoma (NPC). Although fluorine-18 fluorodeoxyglucose positron emission tomography with computed tomography (PET/CT) has been proven to be more sensitive at detecting bone metastases than Technetium-99m methylene diphosphonate skel...

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Main Authors: Wei-Jheng Yen, Chih-Ting Liu, Ya-Min Chi, Chin-Chuan Chang
Format: Article
Language:English
Published: SAGE Publishing 2022-08-01
Series:Journal of International Medical Research
Online Access:https://doi.org/10.1177/03000605221116765
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author Wei-Jheng Yen
Chih-Ting Liu
Ya-Min Chi
Chin-Chuan Chang
author_facet Wei-Jheng Yen
Chih-Ting Liu
Ya-Min Chi
Chin-Chuan Chang
author_sort Wei-Jheng Yen
collection DOAJ
description Bone metastasis occurs frequently in patients with nasopharyngeal carcinoma (NPC). Although fluorine-18 fluorodeoxyglucose positron emission tomography with computed tomography (PET/CT) has been proven to be more sensitive at detecting bone metastases than Technetium-99m methylene diphosphonate skeletal scintigraphy in pretreatment patients with NPC in most clinical settings, there have been metastatic lesions that were positive on skeletal scintigraphy but negative on PET/CT scans. Herein, we report the case of a patient with stage IV NPC that manifested as multiple metabolically abnormal lesions on pretreatment skeletal scintigraphy and were considered malignant although they were negative on PET/CT examination. Follow-up evaluations with both skeletal scintigraphy and PET/CT scans as post-therapeutic imaging are also presented.
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spelling doaj.art-d7e3e59306b0465c85076bdeada922f62022-12-22T01:37:03ZengSAGE PublishingJournal of International Medical Research1473-23002022-08-015010.1177/03000605221116765Skeletal scintigraphy as an important complement for detecting bone metastasis from nasopharyngeal carcinomaWei-Jheng YenChih-Ting LiuYa-Min ChiChin-Chuan ChangBone metastasis occurs frequently in patients with nasopharyngeal carcinoma (NPC). Although fluorine-18 fluorodeoxyglucose positron emission tomography with computed tomography (PET/CT) has been proven to be more sensitive at detecting bone metastases than Technetium-99m methylene diphosphonate skeletal scintigraphy in pretreatment patients with NPC in most clinical settings, there have been metastatic lesions that were positive on skeletal scintigraphy but negative on PET/CT scans. Herein, we report the case of a patient with stage IV NPC that manifested as multiple metabolically abnormal lesions on pretreatment skeletal scintigraphy and were considered malignant although they were negative on PET/CT examination. Follow-up evaluations with both skeletal scintigraphy and PET/CT scans as post-therapeutic imaging are also presented.https://doi.org/10.1177/03000605221116765
spellingShingle Wei-Jheng Yen
Chih-Ting Liu
Ya-Min Chi
Chin-Chuan Chang
Skeletal scintigraphy as an important complement for detecting bone metastasis from nasopharyngeal carcinoma
Journal of International Medical Research
title Skeletal scintigraphy as an important complement for detecting bone metastasis from nasopharyngeal carcinoma
title_full Skeletal scintigraphy as an important complement for detecting bone metastasis from nasopharyngeal carcinoma
title_fullStr Skeletal scintigraphy as an important complement for detecting bone metastasis from nasopharyngeal carcinoma
title_full_unstemmed Skeletal scintigraphy as an important complement for detecting bone metastasis from nasopharyngeal carcinoma
title_short Skeletal scintigraphy as an important complement for detecting bone metastasis from nasopharyngeal carcinoma
title_sort skeletal scintigraphy as an important complement for detecting bone metastasis from nasopharyngeal carcinoma
url https://doi.org/10.1177/03000605221116765
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AT yaminchi skeletalscintigraphyasanimportantcomplementfordetectingbonemetastasisfromnasopharyngealcarcinoma
AT chinchuanchang skeletalscintigraphyasanimportantcomplementfordetectingbonemetastasisfromnasopharyngealcarcinoma