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Year : 2020  |  Volume : 19  |  Issue : 3  |  Page : 310-312

Diffuse pleural metastases of osteosarcoma detected by bone scan

Department of Nuclear Medicine, A. C. Camargo Cancer Center, Liberdade, São Paulo, Brazil

Correspondence Address:
Dr. André Marcondes Braga Ribeiro
Department of Nuclear Medicine, A. C. Camargo Cancer Center, Rua Professor Antônio Prudente, 211, 01509-010, Liberdade, São Paulo
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DOI: 10.4103/wjnm.WJNM_59_20

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Osteosarcoma (OS) is a fast-growing tumor, with a high risk of local recurrence and distant metastases, with the lung and bone being the most common sites of dissemination occurring in approximately 80% of cases. Pleural metastases rarely occurs and the appearance of diffuse pleural thickening with ossification is not usual, with few such cases reported due to the current state-of-art treatment protocols. A 29-year-old woman, diagnosed with a proximal left tibial OS underwent planar and single-photon emission computed tomography/computed tomography bone scan scintigraphy with99mtechnetium methylene diphosphonate showing bilateral pleural uptake, corresponding to multiple calcified foci of thickening and nodules.

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