PMC3318780_01
Simple X-ray of lower extremity. Slight thinning of the anterior cortex without cortical destruction.
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In simple X-ray an interesting feature was the slight thinning of the anterior cortex without cortical destruction which made the diagnosis of metastatic a bit unlikely (Figure 1(a) and 1(b)).
Whole-body bone scan with Tc-99 m MDP, the lesion showed activity in all 3 phases and was the only site of skeletal involvement.
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Tc-99 m MDP, the lesion showed activity in all 3 phases and was the only site of skeletal involvement (Figure 2). The patient went through excisional biopsy and the result of microscopic evaluation was metastatic adenocarcinoma (Figure 3(a) and 3(b)).
Histopathological section of metastatic tumor. (a) Low power field: the tumor infiltrated bone as atypical glands. (b) High power field: atypical gastric glands lined by pleomorphic hyperchromatic tumor cells.
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Tc-99 m MDP, the lesion showed activity in all 3 phases and was the only site of skeletal involvement (Figure 2). The patient went through excisional biopsy and the result of microscopic evaluation was metastatic adenocarcinoma (Figure 3(a) and 3(b)).
Chest X-ray.
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Chest X-ray of patient was normal (Figure 4).
Abdominal CT Scan with contrast.
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But abdominal CT Scan with contrast showed some metastatic lesions in liver (Figure 5).