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Metastatic Pulmonary, Gastric, and Renal Calcification Demonstrated on Bone Scintigraphy in a Patient With Malignant Melanoma and Renal Failure

WHEAT, DEIRDRE, M.B., B.Ch., B.A.O.; McCARTHY, PETER, F.R.C.P.I., F.R.C.R.

Original Articles
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Purpose: This case report describes the clinical, scintigraphic, and pathologic findings in a patient with an unexpected finding of a cutaneous malignant melanoma.

Method: Multiple imaging studies were done, as was a pathologic examination of a suspicious pigmented lesion on the patient's back.

Result: A Tc-99m MDP bone scan showed diffuse uptake in the skeleton, lungs, kidneys, and stomach.

Conclusion: Metastatic calcification, as shown by isotope scintigraphy, is an unusual manifestation of metastatic cancer from a primary cutaneous melanoma.

From University College Hospital, Galway, Ireland

Received May 10, 1998. Revision accepted June 4, 1998.

Reprint requests: Peter McCarthy, Department of Diagnostic Radiology, University College Hospital, Galway, Ireland.

© 1998 Lippincott Williams & Wilkins, Inc.