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Clinical Nuclear Medicine:
doi: 10.1097/RLU.0000000000000384
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Paget Sarcoma of the Pelvic Bone With Widespread Metastatic Disease on Radiography, CT, MRI, and 18F-FDG PET/CT With Pathologic Correlation

Davis, Michael A. MD*; Scalcione, Luke R. MD*; Gimber, Lana H. MD, MPH*; Thompson, Rebecca B. MD; Avery, Ryan J. MD*; Taljanovic, Mihra S. MD, PhD*

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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.

Copyright © 2014 by Lippincott Williams & Wilkins

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