Interesting ImageBone Scintigraphic Images of a Patient With Unusual Metastatic Alveolar Soft-Part SarcomaLin, Yu-Yi, MD, MPH*; Hsieh, Te-Chun, MD*; Kao, Chia-Hung, MD*; Wang, Chih-Hsiu, MD*; Wu, Yu-Chin, MD*; Yen, Kuo-Yang, RT*; Sun, Shung-Shung, MD*†Author Information From the *Department of Nuclear Medicine and PET Center, China Medical University Hospital, Taichung, Taiwan; and †Department of Biomedical Imaging and Radiological Science, China Medical University, Taichung, Taiwan. Received for publication April 22, 2009; revision accepted June 18, 2009. Reprints: Shung-Shung Sun, MD, Department of Nuclear Medicine and PET Center, China Medical University Hospital, No. 2, Yuh-Der Rd, Taichung 404, Taiwan. E-mail: email@example.com. Clinical Nuclear Medicine: November 2009 - Volume 34 - Issue 11 - p 806-807 doi: 10.1097/RLU.0b013e3181b81cf6 Buy Metrics Abstract Alveolar soft-part sarcoma (ASPS) is a rare soft tissue tumor. Most patients with ASPS present with metastatic disease. The most common sites of metastasis are in the lungs and brain, whereas bone metastases are relatively uncommon. This case illustrates a rare presentation of metastatic ASPS with foot pain secondary to metatarsal metastasis. Initially, the primary tumor occurred in the left distal thigh. Four years later, brain and lung metastases were found. Another 9 months later, bone metastasis in the right foot was suspected clinically and was confirmed on bone scanning, with additional imaging and histopathology. © 2009 Lippincott Williams & Wilkins, Inc.