| INTERESTING IMAGE |
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| Year : 2021 | Volume
: 36
| Issue : 1 | Page : 78-79 |
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Osteogenic sarcoma presenting with skip, lymph nodal, pulmonary, pleural metastases and malignant effusion: An unusual appearance on bone scan
Neeraja Bollampally1, Venkata Subramanian Krishnaraju1, Ashwani Sood1, Sameer Aggarwal2, Bhagwant Rai Mittal1
1 Department of Nuclear Medicine, Post Graduate Institute of Medical Education and Research, Chandigarh, India
2 Department of Orthopeadics, Post Graduate Institute of Medical Education and Research, Chandigarh, India
Correspondence Address:
Dr. Ashwani Sood
Department of Nuclear Medicine, Post Graduate Institute of Medical Education and Research, Sector-12, Chandigarh - 160 012
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/ijnm.IJNM_177_20
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Osteogenic sarcoma is an aggressive malignant bone tumor arising from primitive mesenchymal bone-forming cells. Ossification is the characteristic feature of the metastases in osteosarcoma which aids their detection on 99mTc-MDP bone scintigraphy. Although lung is the most common site of metastasis in osteogenic sarcoma, pleural involvement with effusion and skip metastases are rare. Herein, we report a case of osteogenic sarcoma of distal femur with diffuse calcified pleural thickening leading to malignant pleural effusion, calcified lung, lymph node, and bone metastases illustrated on bone scan.
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