Golestan University of Medical Sciences Repository

Bone single photon emission computed tomography (SPECT) in a patient with Pancoast tumor: A case report

Javadi, H. and Mogharrabi, M. and Asli, I.N. and Shafiei, B. and Bahtoee, M. and Seyedabadi, M. and Nabipour, I. and Assadi, M. (2010) Bone single photon emission computed tomography (SPECT) in a patient with Pancoast tumor: A case report. Sao Paulo Medical Journal, 128 (4). pp. 239-243. ISSN 15163180 (ISSN)

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Abstract

Context: Non-small cell lung carcinomas (NSCLCs) of the superior sulcus are considered to be the most challenging type of malignant thoracic disease. In this disease, neoplasms originating mostly from the extreme apex of the lung expand to the chest wall and thoracic inlet structures. Multiple imaging procedures have been applied to identify tumors and to stage and predict tumor resectability in surgical operations. Clinical examinations to localize pain complaints in shoulders and down the arms, and to screen for Horner's syndrome and abnormalities seen in paraclinical assessments, have been applied extensively for differential diagnosis of superior sulcus tumors. Although several types of imaging have been utilized for diagnosing and staging Pancoast tumors, there have been almost no reports on the efficiency of whole-body bone scans (WBBS) for detecting the level of abnormality in cases of superior sulcus tumors. Case report: We describe a case of Pancoast tumor in which technetium-99m methylene diphosphonate (Tc-99m MDP) bone single-photon emission-computed tomography (SPECT) was able to accurately detect multiple areas of abnormality in the vertebrae and ribs. In describing this case, we stress the clinical and diagnostic points, in the hope of stimulating a higher degree of suspicion and thereby facilitating appropriate diagnosis and treatment. From the results of this study, further clinical trials to evaluate the potential of SPECT as an efficient imaging tool for the work-up on cases of Pancoast tumor are recommended.

Item Type: Article
Additional Information: Unmapped bibliographic data: LA - Portuguese [Field not mapped to EPrints] ST - Tomografia óssea computadorizada por emissão de fóton único (SPECT) em paciente com tumor de Pancoast: Um relato de caso [Field not mapped to EPrints] J2 - Sao Paulo Med. J. [Field not mapped to EPrints] C2 - 21120438 [Field not mapped to EPrints] AD - Department of Nuclear Medicine, 5th Azar Hospital, Golestan University of Medical Sciences, Gorgan, Iran [Field not mapped to EPrints] AD - Department of Nuclear Medicine, Taleghani Hospital, Shaheed Beheshti University of Medical Sciences, Tehran, Iran [Field not mapped to EPrints] AD - Internal Medicine, Tropical and Geographical Research Center, Persian Gulf Biomedical Sciences Institute, Bushehr University of Medical Sciences, Bushehr, Iran [Field not mapped to EPrints] AD - Bushehr Research Center for Nuclear Medicine, Persian Gulf Biomedical Sciences Institute, Bushehr University of Medical Sciences, Bushehr, Iran [Field not mapped to EPrints] DB - Scopus [Field not mapped to EPrints]
Uncontrolled Keywords: Carcinoma, Emission-computed, Magnetic resonance imaging, Non-small-cell lung, Pancoast syndrome, Single-photon, Technetium Tc 99m medronate, Tomography, medronate technetium tc 99m, aged, anemia, article, atelectasis, bone scintiscanning, bronchus cancer, cancer invasion, cancer palliative therapy, cancer surgery, case report, clinical feature, computer assisted tomography, diagnostic accuracy, diagnostic value, differential diagnosis, disease severity, dyspnea, histopathology, human, image analysis, lung collapse, lung nodule, male, muscle weakness, nuclear magnetic resonance imaging, Pancoast tumor, pneumonia, rib, shoulder pain, single photon emission computer tomography, spine metastasis, squamous cell carcinoma, surgical approach, thorax pain, thorax radiography, vertebral canal, vertebrate, Aged, Carcinoma, Non-Small-Cell Lung, Humans, Lung Neoplasms, Male, Pancoast Syndrome, Radiopharmaceuticals, Spine, Technetium Tc 99m Medronate, Tomography, Emission-Computed, Single-Photon
Subjects: مقالات نمایه شده محققین دانشگاه در سایت ,Web of Science ,Scopus
Divisions: معاونت تحقیقات و فناوری
Depositing User: GOUMS
Date Deposited: 20 Apr 2015 09:03
Last Modified: 23 May 2015 08:45
URI: http://eprints.goums.ac.ir/id/eprint/2202

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