초기 골스캔에서 뼈, 폐와 심낭으로의 전이를 보인 골육종

Osteogenic Sarcoma with Osseous, Pulmonary, and Pericardial Metastases Simultaneously Demonstrated on Bone Scintigraphy at Initial Presentation

  • 임석태 (전북대학교 의과대학 핵의학교실) ;
  • 김민우 (전북대학교 의과대학 핵의학교실) ;
  • 손명희 (전북대학교 의과대학 핵의학교실) ;
  • 황평한 (전북대학교 의과대학 소아과학교실)
  • Lim, Seok-Tae (Departments of Nuclear Medicine, Chonbuk National University Medical School) ;
  • Kim, Min-Woo (Departments of Nuclear Medicine, Chonbuk National University Medical School) ;
  • Sohn, Myung-Hee (Departments of Nuclear Medicine, Chonbuk National University Medical School) ;
  • Hwang, Pyoung-Han (Departments of Pediatrics, Chonbuk National University Medical School)
  • 발행 : 2003.10.30

초록

Purpose: A 6-year-old boy with osteogenic sarcoma of the left humerus underwent bone scintigraphy. Tc-99m MDP was accumulated not only in the primary tumor but also in the osseous and extraosseous (pulmonary and pericardial) metastases. Osteogenic sarcoma directly produces osteoid, both in the primary and metastatic lesions. Tc-99m MDP is avidly taken up by tumor osteoid. At initial presentation, only 2% of cases have both pulmonary and osseous metastases. The patient had osseous, pulmonary, and pericardial metastases at presentation. This case presents that increased uptakes of Tc-99m MDP by the primary and metastatic tumor were demonstrated on bone scintigraphy at presentation.

키워드

참고문헌

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