Indian Journal of Nuclear Medicine
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Year : 2018  |  Volume : 33  |  Issue : 2  |  Page : 171-173

Atypical Hemangioma Mimicking Metastasis on 18F-Sodium Fluoride Positron Emission Tomography-Computed Tomography and Magnetic Resonance Imaging: Gallium-68-Prostate-Specific Membrane Antigen Positron Emission Tomography Improves the Specificity of Bone Lesions

1 Department of Nuclear Medicine, Cancer Control Center, Khaitan, Kuwait
2 Department of Radiology, Jack Brignall PET/CT Centre, Castle Hill Hosptial, Cottingham, England

Correspondence Address:
Dr. Sharjeel Usmani
Department of Nuclear Medicine, Kuwait Cancer Control Center, PO Box: 1488, 83001 Khaitan
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijnm.IJNM_150_17

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Vertebral hemangioma is a benign condition, but sometimes, it might represent as diagnostic dilemma especially in elderly patient mimicking serious pathology like metastasis. We report a case of a 66-year-old man with prostate cancer. 18F-sodium fluoride positron emission tomography-computed tomography (18F-NaF PET-CT) demonstrates increased radiotracer uptake at body of D4 vertebra. Magnetic resonance imaging shows features of atypical hemangioma; however, metastasis cannot be ruled out. To rule out bone metastasis, gallium-68-prostate-specific membrane antigen PET-CT is performed which shows no abnormal lesion. Eight-month follow-up by 18F-NaF PET-CT showed persistent osteoblastic lesion at D4 without any significant change thus, confirming the initial diagnosis of atypical hemangioma.

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