Solitary adenocarcinoma metastasis mimicking sarcomatous degeneration in Paget's disease
Conrad, G.R.; Johnson, A.W.
Clinical Nuclear Medicine 22(5): 300-302
1997
ISSN/ISBN: 0363-9762 PMID: 9152527 Document Number: 474448
A rare case of mucinous adenocarcinoma presented as a solitary, metastatic deposit to a region of Paget's disease within the peripheral skeleton. Historical, physical, radiographic, and scintigraphic findings were indistinguishable from those of sarcomatous degeneration arising from pagetoid bone. This case supports the idea that when a painful, osteolytic lesion is discovered within a region of Paget's disease, bone scintigraphy has greater value for disclosing potential multifocal or multicentric disease than for providing etiologic specificity for the principal lesion.