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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*

doi: 10.1097/RLU.0000000000000384
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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.

From the *Departments of Medical Imaging and †Pathology, The University of Arizona Health Network, Tucson, AZ.

Received for publication August 27, 2013; revision accepted December 28, 2013.

Conflicts of interest and sources of funding: none declared.

Reprints: Luke R. Scalcione, MD, Department of Medical Imaging, The University of Arizona Health Network, 1501 N Campbell Avenue, Tucson, AZ 85724. E-mail:

© 2014 by Lippincott Williams & Wilkins