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CASE REPORT
Year : 2015  |  Volume : 30  |  Issue : 3  |  Page : 251-253

Hypertrophic pulmonary osteoarthropathy on bone scintigraphy and 18F-fluorodeoxyglucose positron emission tomography/computed tomography in a patient with lung adenocarcinoma


1 Department of Nuclear Medicine, Faculty of Medicine, Adnan Menderes University, Aydin, Turkey
2 Department of Pulmonology, Faculty of Medicine, Adnan Menderes University, Aydin, Turkey

Correspondence Address:
Arzu Cengiz
Department of Nuclear Medicine, Faculty of Medicine, Adnan Menderes University, Aydin
Turkey
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-3919.158535

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Hypertrophic pulmonary osteoarthropathy (HPOA) is not an uncommon paraneoplastic syndrome that is frequently associated with lung cancer. A 54-year-old male patient with lung adenocarcinoma underwent bone scintigraphy and fluorodeoxyglucose (FDG) positron emission tomography/computed tomography (PET/CT) scanning for initial staging. Bone scintigraphy revealed increased periosteal activity in lower extremities. FDG PET/CT revealed hypermetabolic right lung mass, mediastinal lymph nodes, and mildly increased periosteal FDG uptake in both femurs and tibias. The findings in lower extremities on bone scan and FDG PET/CT were interpreted as HPOA.


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