Indian Journal of Nuclear Medicine
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CASE REPORT
Year : 2019  |  Volume : 34  |  Issue : 4  |  Page : 313-316

Chronic venous insufficiency causing a diagnostic conundrum on Tc-99m bone scan done for osteosarcoma surveillance: Awareness is the key!


1 Division of Nuclear Medicine, Department of Radiology, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA
2 Division of Nuclear Medicine, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA

Correspondence Address:
Dr. Ravishankar Pillenahalli Maheshwarappa
724, Westgate Street, Apt 2, Iowa City, Iowa 52246
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijnm.IJNM_127_19

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Bone scans are the most commonly used imaging technique to rule out local recurrence or metastasis during surveillance of malignant bone tumors after treatment. Although bone scans are very sensitive in detecting recurrence or metastasis, they are less specific. There are many nonmalignant conditions which can mimic either recurrence or metastasis on a Tc-99m bone scan. Therefore, physicians must be aware of such conditions to avoid unnecessary workup and invasive procedures. We present such an interesting case where chronic venous insufficiency mimicked either osteomyelitis or regional metastasis on a Tc-99m bone scan done for osteosarcoma surveillance.


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