Significance of the solitary lesion in pediatric bone scanning: concise communication

This study was undertaken to determine the incidence and importance of the solitary lesion in pediatric bone scanning. One hundred four children with known or suspected malignancy had 340 scans performed. There were 62 scans with a solitary area of increased uptake, 24 of which (39%) were due to metastatic disease. The solitary lesion in a child with known malignancy must be evaluated further and followed clinically.