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Tumor-induced rickets: usefulness of MR gradient echo recall imaging for tumor localization
Dorothy I Shulman1, Gregory Hahn, Richard Benator
1Departments of Pediatrics, Orthopedics, Radiology, and Pathology, All Children's Hospital, St Petersburg, Florida USA.
Abstract:
An 11-year-old boy presented with a femur fracture, bone hypomineralization, and hypophosphatemia, suggesting tumor-induced rickets. Conventional radiologic techniques including magnetic resonance skeletal survey did not identify a tumor. Magnetic resonance gradient echo recall imaging demonstrated a 3-cm iliac tumor, the resection of which rapidly reversed metabolic abnormalities. This technique may be useful in identifying elusive tumors associated with tumor-induced rickets.
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