Incidental detection of tumor duplicity on bone scan – SPECT/CT

Česká verzia

Authors: Pavel Širůček ¹; Martin Havel ¹; Pavel Koscielnik ²
Authors place of work: Klinika nukleární medicíny, LF Ostravské univerzity a Fakultní nemocnice Ostrava ¹; Radiodiagnostický ústav , LF Ostravské univerzity a Fakultní nemocnice Ostrava ²
Published in the journal: NuklMed 2015;4:34-36
Category: Casuistry

Summary

70-year old man with prostate cancer was referred to follow-up bone scintigraphy due to the elevated PSA. Whole body scan and SPECT/CT examination revealed slightly increased uptake of the radiotracer in the right frontal area of the skull. The CT image showed bone defect and a dense focus in its proximity which oppressed frontal lobe with perifocal edema. There was no objective neurological impairment, subjectively the patient complained with mild headache and slight vertigo when changing the position of the head. A history of head trauma was negative. The MRI of the head was performed and described extraaxial tumor – meningioma – localized frontally right with diameter of 40 mm, with perifocal edema and incipient left subfalciar herniation. Moreover, another 8 mm small suspected meningioma at falx cerebri was revealed. The patient underwent neurosurgical procedure with the extraction of both tumors. Histological examination confirmed diagnosis of meningiomas. The postoperative course was favorable.

Case report shows the contribution of SPECT/CT in the restaging of patient with prostate cancer, with an incidental detection of tumor duplicity – meningiomas.

Key Words:
prostate cancer, meningeoma, hybrid SPECT/CT imaging

Zdroje

1. Commins DL, Atkinson RD, Bur- nett ME. Review of meningioma histopathology, Neurosurgical focus, 2007;23:E3

2. Rockhill J, Mrugala M, Chamberlain MC, Intracranial meningiomas: an overview of diagnosis and treatment, Neurosurgical Focus, 2007; 23:E1

3. Lee JH, Meningiomas: diagnosis, treatment, and outcome. Springer, 2008,11 p

4. Wiemels J, Wrensch M, Claus EB, Epidemiology and etiology of meningioma. Journal of neuro-oncology, 2010;99:307-314

5. Norden AD, Drappatz J, Wen PY. Advances in meningioma therapy. Current neurology and neuroscience reports, 2009;9:231-240

Štítky

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Článok vyšiel v časopise

Nuclear Medicine

2015 Číslo 2

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