Skeletal metastasis detection in an asymptomatic patient with elevated serum alkaline phosphate level

Skeletal metastasis detection in an asymptomatic patient with elevated serum alkaline phosphate level


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نویسندگان: اسماعیل قره پاپاق , سحر رضائی

عنوان کنگره / همایش: EANM 2024 Congress , Germany , Hamburg , 2024

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نویسنده ثبت کننده مقاله سحر رضائی
مرحله جاری مقاله تایید نهایی
دانشکده/مرکز مربوطه دانشکده پزشکی
کد مقاله 86314
عنوان فارسی مقاله Skeletal metastasis detection in an asymptomatic patient with elevated serum alkaline phosphate level
عنوان لاتین مقاله Skeletal metastasis detection in an asymptomatic patient with elevated serum alkaline phosphate level
نوع ارائه پوستر
عنوان کنگره / همایش EANM 2024 Congress
نوع کنگره / همایش بین المللی
کشور محل برگزاری کنگره/ همایش Germany
شهر محل برگزاری کنگره/ همایش Hamburg
سال انتشار/ ارائه شمسی 1403
سال انتشار/ارائه میلادی 2024
تاریخ شمسی شروع و خاتمه کنگره/همایش 1403/07/28 الی 1403/08/02
آدرس لینک مقاله/ همایش در شبکه اینترنت https://eanm24.eanm.org/
آدرس علمی (Affiliation) نویسنده متقاضی Department of Nuclear Medicine, Medical School, Tabriz University of Medical Sciences, Tabriz, IRAN, Tabriz, IRAN, ISLAMIC REPUBLIC OF.

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نویسنده نفر چندم مقاله
اسماعیل قره پاپاقاول
سحر رضائیدوم

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عنوان متن
خلاصه مقالهAim/Introduction: Detection of possible malignant involvement by radionuclide scan according to a patient’s clinical symptoms, laboratory biomarkers, or occasionally even without them Materials and Methods: A 77-year-old man with a history of multinodular goiter operated (total thyroidectomy) one year ago. The pathology report was benign goiter, but when he was referred to the endocrinologist for periodic management of the disease, his physician accidently noticed an increase in the serum alkaline phosphatase level (ALP=536, normal range =44-147 IU/L). The patient’s other tests were as follows (Ur = 49, Cr = 2.3, Ph = 3.8, Ca = 8.9). It is important to note that the patient did not mention any obvious bone pain. Whole body bone scan was requested by the attending physician for further evaluation of the patient. After an intravenous injection of 630 MBq of 99mTc-MDP, the whole body scan was performed three hours later in poster, anterior, and some spot views. Results: Several osteoblastic lesions were observed and reported at the regions of the Post. skull, Rt. lateral upper ribs, and Lt. ischium, suggesting metastatic involvement. Then the spiral chest CT was requested and showed a suspicious lesion in the superior segment of the right lung. During the evaluation by an interventional radiologist, a CT-guided biopsy was performed, and pulmonary carcinoma was diagnosed by the pathologist. Chemotherapy was prescribed for the patient in accordance with his condition. Conclusion: It is possible for bone metastasis to cause an increase in the serum alkaline phosphatase (ALP) titer or other biomarkers without even skeletal pain. Consequently, in such cases, it is recommended to perform whole body functional imaging, speciÄcally bone scintigraphy
کلمات کلیدیSkeletal metastasis, 99mTc-MDP

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نام فایل تاریخ درج فایل اندازه فایل دانلود
EPOST_EANM24_Skeletal metastasis.pdf1403/09/211350123دانلود
CR-Skeletal.pdf1403/09/2182955دانلود