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The value of 99mTc-MDP bone scintigraphy in staging primary lymphoma of bone
Angus R O'Connor1, James D Birchall, Simon R O'Connor
1Departments of Radiology, Nottingham City Hospital, Hucknall Road, Nottingham, UK. angusoconnor@hotmail.com
Aim:
To assess the value of (99m)Tc-MDP bone scintigraphy in the staging of primary bone lymphoma.
Materials And Methods:
Thirteen staging scintigrams of patients with biopsy proven primary bone lymphoma were reviewed. The number and location of involved sites of disease were documented in each case.
Results:
Seven out of 13 scintigrams (54%) demonstrated a single site of bone involvement. Six cases (46%) showed multifocal disease, including clinically silent weight-bearing sites.
Conclusions:
Bone scintigraphy is a valuable tool in the staging of primary bone lymphoma. It detects multifocal involvement which alters prognosis and possibly treatment. Clinically silent involvement of weight-bearing sites may be detected allowing prophylactic treatment if required.
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