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Clinical nuclear medicine · Mar 2016
Case ReportsIsolated Calcaneal Metastasis: An Unusual Presentation of Lung Carcinoma as Heel Pain.
- Charanjeet Singh, Mamta Gupta, Jagadeesh Singh, and Amjad Ali.
- From the Department of Diagnostic Radiology and Nuclear Medicine, Rush University Medical Center, Chicago, IL.
- Clin Nucl Med. 2016 Mar 1; 41 (3): 214-6.
AbstractA 63-year-old woman initially presented with progressive left foot pain for 3 months, not responding to conservative management. MRI of the left foot showed a suspicious lesion in calcaneus. An open biopsy was consistent with metastatic lung adenocarcinoma. Tc-MDP total-body bone scintigraphy was ordered for possible other bony lesions, and only left calcaneus lesion was identified on bone scan. CT scan of the chest revealed a soft tissue mass in the superior aspect of the right lower lobe. Staging FDG PET/CT showed hypermetabolic right lung mass and left calcaneus lesion. She received chemotherapy and local radiation to the left calcaneus metastatic lesion.
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