A 70-year-old male having advanced prostate cancer presenting with hypercalcemia and diffuse osteoblastic bone metastases: a case reportReport as inadecuate




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Cases Journal

, 2:54

First Online: 14 January 2009Received: 17 December 2008Accepted: 14 January 2009DOI: 10.1186-1757-1626-2-54

Cite this article as: Liao, WH., Lin, SH. & Wu, TT. Cases Journal 2009 2: 54. doi:10.1186-1757-1626-2-54

Abstract

BackgroundBony metastases were occasionally the initial presentations of malignancy. Overlooking of bony changes on radiographs in cancer patients with non-specific clinical symptoms may lead to delayed diagnosis.

Case presentationWe presented a 70-year-old male having hypercalcemia and diffuse osteoblastic bone metastases on routine plain films. Finally, prostate cancer was diagnosed with a prostate needle biopsy.

ConclusionAlthough the modern radionuclide bone scanning is useful in diagnosis, osteoblastic bone changes are occasionally seen in plain films, which are frequently overlooked. To avoid delayed diagnosis, bony structures should be carefully examined in all plain-film radiographs.

AbbreviationsPSAprostate-specific antigen

Tc-99m MDPtechnetium-99m methylene diophosphate

FDG-PETpositron emission tomography with 18F-2-deoxyglucose.

Electronic supplementary materialThe online version of this article doi:10.1186-1757-1626-2-54 contains supplementary material, which is available to authorized users.

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Author: Wan-Hsiu Liao - Sheng-Hsiang Lin - Tsu-Tuan Wu

Source: https://link.springer.com/







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