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Year : 2022  |  Volume : 37  |  Issue : 1  |  Page : 91-93

Unexpected metastasis to breast, lymph node, subcutaneous, abdominal wall, intraabdominal, and bone in osteogenic osteosarcoma: An unusual presentation on bone scintigraphy


1 Department of Nuclear Medicine, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India
2 Department of Orthopaedics, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India

Correspondence Address:
Dr. Vandana K Dhingra
Department of Nuclear Medicine, All India Institute of Medical Sciences Rishikesh, Virbhadra Road, Rishikesh - 249 203, Uttarakhand
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijnm.ijnm_120_21

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Osteogenic osteosarcoma is an aggressive malignant bone tumor with the tendency for local invasion and early metastases. Radionuclide bone scans play an important role in disease management by identifying other areas of skeletal involvement as well as extraosseous metastases. Osteogenic sarcoma metastasis is known to accumulate bone-avid agents due to their osteogenic potential. Here, we report a case of osteogenic osteosarcoma of distal femur with the absence of pleural effusion but extensive extraosseous areas of metastatic involvement in distant lymph nodes, subcutaneous planes (in the form of nodules), abdominal wall, multiple intraperitoneal deposits, breast, and bone metastases visualized on preoperative Tc-99 m methylene diphosphonate bone scan.


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