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F-18-FDG PET/CT in a Case of Multifocal Skeletal Tuberculosis Without Pulmonary Disease and Potential Role for Monitoring Treatment Response

Authors
Cho, YS[Cho, Young Seok]Chung, DR[Chung, Doo Ryeon]Lee, EJ[Lee, Eun Jung]Kim, BT[Kim, Byung-Tae]Lee, KH[Lee, Kyung-Han]
Issue Date
Nov-2014
Citation
CLINICAL NUCLEAR MEDICINE, v.39, no.11, pp.980 - 983
Indexed
SCIE
SCOPUS
Journal Title
CLINICAL NUCLEAR MEDICINE
Volume
39
Number
11
Start Page
980
End Page
983
URI
https://scholarworks.bwise.kr/skku/handle/2021.sw.skku/51060
ISSN
0363-9762
Abstract
A 39-year-old man presented with left shoulder and interscapular pain. Tc-99m-MDP bone scan demonstrated multiple active bone lesions including scapula, spines, ribs, and pelvis. Chest X-ray showed no active lung lesion, and MRI demonstrated infiltrative enhancing lesions in the T-spines and ribs, indicating skeletal metastasis. F-18-FDG PET/CT performed to search for hidden malignancy revealed multiple osteolytic lesions with intense FDG uptake, supporting metastasis. Tissue obtained from the T1 lesion showed no malignant cells but was positive for Mycobacterium tuberculosis. After 18 months of antituberculosis medication, follow-up F-18-FDG PET/CT showed complete normalization of FDG uptake in the skeletal lesions.
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