The Korean Journal of Nuclear Medicine Technology (핵의학기술)

The Korean Society of Nuclear Medicine Technology (대한핵의학기술학회)
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Femoral Metastasis in Bone Mineral Densitometry

  • Han-Kyung Seo (Department of Nuclear Medicine, Jeonbuk National University Hospital) ;
  • Do-Cheol Choi (Department of Nuclear Medicine, Jeonbuk National University Hospital) ;
  • Cheol-Min Shim (Department of Nuclear Medicine, Jeonbuk National University Hospital) ;
  • Jin-Hyeong Jo (Department of Nuclear Medicine, Jeonbuk National University Hospital)
  • Published : 2023.05.20
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Abstract

A 50-year-old female patient referred by the department of breast and thyroid surgery was recommended for orthopedic surgery because lesion like herniation pit was found in the left proximal femur in bone mineral densitometry (BMD). She was later diagnosed with bone metastasis on biopsy in orthopedic surgery. Pelvic X-ray and Lt thigh MRI were performed . Intra-medually nail was operated later. The BMD is a diagnostic method that determines the results by numerical values, so it is inevitable to neglect to observe the bone shape, but as shown in the above case, the examiner's observation of changes in bone shape can return to beneficial treatment for patients.

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References

  1. Yukata K, Nakai S, Goto T, Ikeda Y, Shimaoka Y, Yamanaka I, et al. Cystic lesion around the hip joint. World J Orthop. 2015;6(9):688-704. https://doi.org/10.5312/wjo.v6.i9.688
  2. Feng H, Wang J, Xu J, Chen W, Zhang Y. The surgical management and treatment of metastatic lesions in the proximal femur: A mini review. Medicine (Baltimore). 2016 ;95(28):1-6. https://doi.org/10.1097/MD.0000000000003892
  3. Henrik M, Svend S, Eilif L. Metastasis size in pathologic femoral fractures. Acta Orthopaedica Scanddinavica. 2009;80: 151-4.
  4. Lee E, Choi JA. Associations between alpha angle and heniation Pit on MRI revisited in 185 asymptomatic hip joints. Korean J Radiol. 2015;16(6):1319-25. https://doi.org/10.3348/kjr.2015.16.6.1319
  5. Guo Z, Xu L, Su YB, Cheng XG. Correlation between the prevalence of herniation pits and alpha angle of the hip:computed tomography evaluation in healthy chinese adults. BMC Musculoskelet Disord 2013;14:288.