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Tc-99m MDP uptake in a calcified bladder tumor.
1Durham, Duke University Medical Center, North Carolina 27710, USA. Rohre002@mc.duke.edu
Clinical Nuclear Medicine
|January 4, 2001
Summary
A 68-year-old man with prostate cancer was incidentally found to have bladder cancer during a bone scan. The bladder tumor was successfully removed via transurethral resection.
Area of Science:
- Urologic oncology
- Diagnostic imaging
Background:
- A 68-year-old male patient with a history of prostate carcinoma presented with rising prostate-specific antigen levels.
- The patient was referred for a radionuclide bone scan to evaluate for metastatic disease.
Observation:
- The bone scan revealed a probable metastatic lesion in the right femoral head.
- Additionally, focal radiotracer accumulation was noted over the left aspect of the urinary bladder.
- Radiographs and pelvic CT confirmed a calcified bladder mass.
- Cystoscopy identified an exophytic bladder lesion.
Findings:
- Biopsy confirmed the bladder lesion as low-grade papillary transitional cell carcinoma.
- The patient underwent successful transurethral resection of the bladder tumor.
Implications:
- This case highlights the importance of recognizing incidental findings on radionuclide bone scans.
- It underscores the potential for unexpected diagnoses, such as bladder cancer, during oncologic staging.
- Early detection and appropriate management of bladder tumors are crucial for patient outcomes.