ID | 54505 |
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Author |
Tanaka, Takashi
Department of Radiology , Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
Gobara, Hideo
Department of Radiology , Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
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Inai, Ryota
Department of Radiology , Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
Iguchi, Toshihiro
Department of Radiology , Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
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Tada, Akihiro
Department of Radiology , Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
Sato, Shuhei
Department of Radiology , Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
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Yanai, Hiroyuki
Department of Pathology, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences
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Abstract | We present a case of a 66-year-old man with esophageal carcinoma. 18Fluorodeoxyglucose positron emission tomography/computed tomography (18F-FDG PET/CT) for evaluating distant metastasis and staging revealed 18F-FDG uptake in the third lumbar vertebra and other vertebrae. Magnetic resonance imaging could not differentiate bone metastases from benign bone lesions. We considered the possibility of bone marrow reconversion. 111Indium chloride (111In-Cl3) scintigraphy with single-photon emission computed tomography/computed tomography (SPECT/CT) revealed erythroid bone marrow components in the bone lesions. The diagnosis of bone marrow reconversion was pathologically confirmed by a bone biopsy of the third lumbar vertebra. The patient underwent esophagectomy and has remained disease-free in the 2 years since. To the best of our knowledge, this is the first report to describe the usefulness of 111In-Cl3 with SPECT/CT for the diagnosis of bone marrow reconversion.
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Keywords | 111Indium chloride scintigraphy
SPECT/CT
bone marrow reconversion
18F-FDG PET/CT
bone metastasis
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Amo Type | Case Report
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Publication Title |
Acta Medica Okayama
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Published Date | 2016-08
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Volume | volume70
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Issue | issue4
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Publisher | Okayama University Medical School
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Start Page | 285
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End Page | 289
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ISSN | 0386-300X
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NCID | AA00508441
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Content Type |
Journal Article
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language |
English
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Copyright Holders | CopyrightⒸ 2016 by Okayama University Medical School
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File Version | publisher
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Refereed |
True
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