Case Author(s): Jerold Wallis, M.D. , 11/15/95 . Rating: #D1, #Q4

Diagnosis: Widespread metastatic prostate cancer

Brief history:

Rising PSA level.

Images:

Anterior and posterior images

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Full history/Diagnosis is available below


Diagnosis: Widespread metastatic prostate cancer

Full history:

The patient has known prostate cancer, and the serum PSA level has recently been rising; it is currently above 100.

Radiopharmaceutical:

20 mCi Tc-99m MDP, i.v.

Findings:

Widespread foci of increased uptake are seen including nearly all levels of the spine, most ribs, skull, pelvis, proximal femurs, and both humeri.

Discussion:

This pattern of uptake is diagnostic of widespread metastatic disease.

General information on prostate cancer can be found at http://www.cancer.gov/cancertopics/types/prostate

ACR Codes and Keywords:

References and General Discussion of Bone Scintigraphy (Anatomic field:Skeletal System, Category:Neoplasm, Neoplastic-like condition)

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Case number: bs045

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