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Annals of Nuclear Medicine

, Volume 18, Issue 7, pp 627–630 | Cite as

Pathologic hepatic Tc-99m-MDP uptake in polyostotic fibrous dysplasia

  • Ersrsoy Kekilli
  • Cengiz Yagmur
  • Akin Kuzucu
  • Omer Soysal
  • Ayse Sertkaya Cikim
  • Kadir Ertem
Case Report

Abstract

Fibrous dysplasia of bone is a congenital, sporadic developmental disorder characterized by immature fibrous connective tissue and bone deformities. Hepatic Tc-99m-MDP uptake is a rare, serendipitous finding during bone scanning studies. The present patient was a 25-year-old male who had severe polyostotic fibrous dysplasia. On Tc-99m-MDP (methylene diphosphonate) bone scintigraphy, increased activity accumulations were seen on multiple ribs, vertebrae and base of the cranium. In addition, diffuse increased pathologic uptake of Tc-99m-MDP in the liver was shown. Intravenous pamidronate was administered monthly for two months. In the third week of the last administration Tc-99m-MDP bone scintigraphy was performed again, but despite sustained bone involvement, pathologic hepatic uptake was not seen on the scan. We thought that pathologic hepatic Tc-99m-MDP accumulation, may be related to the formation and aggregation of calcium oxalate and phosphate crystals which improved with pamidromat treatment.

Key words

fibrous dysplasia hepatic extra-osseous 

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Copyright information

© Springer 2004

Authors and Affiliations

  • Ersrsoy Kekilli
    • 1
  • Cengiz Yagmur
    • 1
  • Akin Kuzucu
    • 2
  • Omer Soysal
    • 2
  • Ayse Sertkaya Cikim
    • 4
  • Kadir Ertem
    • 3
  1. 1.Departments of Nuclear MedicineInonu University, Turgut Ozal Medical Center7. km. MalatyaTurkey
  2. 2.Departments of Thoracic SurgeryUK
  3. 3.Departments of EndocrinologyUK
  4. 4.Orthopedic and TraumatologyInonu University, Turgut Ozal Medical CenterMalatyaTurkey

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