We present a case of a 70-year-old male who was referred for a technetium-99m methylene-diphosphonate bone scan for mild left hip pain and an elevated alkaline phosphatase level of 770 units/L.
No additional information was provided and the patient's history was limited due to a language barrier. We were able to ascertain that the patient had a remote history of prostate cancer, which had been treated with radiation. Originally, we felt the bone scan was compatible with Paget's disease; however, further work-up revealed the presence of osteosarcoma, which was potentially radiation-induced.
Written by:
Jolepalem P, Yeow RY, Cosner D, Seitz JP. Are you the author?
Department of Diagnostic Radiology and Molecular Imaging, Oakland University William Beaumont School of Medicine and Health System, Royal Oak, MI, USA.
Reference: J Clin Imaging Sci. 2013 Oct 29;3:46.
doi: 10.4103/2156-7514.120786
PubMed Abstract
PMID: 24228214
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