Paget sarcoma of the pelvic bone with widespread metastatic disease on radiography, CT, MRI, and 18F-FDG PET/CT with pathologic correlation

Clin Nucl Med. 2014 Apr;39(4):371-3. doi: 10.1097/RLU.0000000000000384.

Abstract

We report a case of Paget sarcoma of the left superior pubic ramus and disseminated metastatic disease in a 70-year-old man. Paget disease of the left hemipelvis with malignant degeneration in the region of the left superior pubic ramus was initially diagnosed on radiographs. Subsequent CT, MRI, PET/CT imaging, and CT-guided biopsy confirmed the diagnosis and showed extensive left-sided pelvic and abdominal lymphadenopathy with widespread metastatic disease to liver, spleen, and lungs.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Fluorodeoxyglucose F18*
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Multimodal Imaging*
  • Neoplasm Metastasis
  • Osteitis Deformans / diagnosis*
  • Osteitis Deformans / diagnostic imaging
  • Osteitis Deformans / pathology*
  • Pelvic Bones*
  • Positron-Emission Tomography
  • Sarcoma / diagnosis*
  • Sarcoma / diagnostic imaging
  • Sarcoma / pathology*
  • Tomography, X-Ray Computed

Substances

  • Fluorodeoxyglucose F18