The Intricate Diagnostic Journey of a Breast Cancer Patient, Revealing Extensive Hepatic Metastasis Through Extraosseous Uptake in Planar Bone Scintigraphy and SPECT-CT Precision Mapping

Authors

  • Afroza Akhter Institute of Nuclear Medicine and Allied Science (INMAS), Dhaka.
  • Shaila Sharmin Institute of Nuclear Medicine and Allied Science (INMAS), Dhaka.
  • Farhana Rahman Institute of Nuclear Medicine and Allied Science (INMAS), Dhaka.
  • Sabrina Islam Institute of Nuclear Medicine and Allied Science (INMAS), Dhaka.
  • Sadia Hossain Institute of Nuclear Medicine and Allied Science (INMAS), Dhaka.
  • Rawnak Afrin Institute of Nuclear Medicine and Allied Science (INMAS), Dhaka.
  • Tanima Biswas Institute of Nuclear Medicine and Allied Science (INMAS), Dhaka.
  • Rubina Begum Institute of Nuclear Medicine and Allied Science (INMAS), Dhaka.
  • Shankar Kumar Biswas Institute of Nuclear Medicine and Allied Science (INMAS), Dhaka.
  • Jasmine Ara Haque Institute of Nuclear Medicine and Allied Science (INMAS), Dhaka.
  • Mohammad Ashraf Us Zaman Mahmud National Institute of Cancer Research & Hospital (NICRH), Dhaka.

DOI:

https://doi.org/10.3329/bjnm.v27i1.71527

Keywords:

Breast cancer, Extraosseous Uptake, Planar Bone Scintigraphy, SPECT-CT

Abstract

In breast cancer patients, planar bone scintigraphy is commonly used for  detecting osseous metastasis. This case report emphasizes the importance  of recognizing unusual extraosseous uptake in  bone scintigraphy, even  when negative for osteoblastic lesions. A 35-year-old post-treatment breast  carcinoma  patient exhibited unexpected radiotracer uptake in the upper  abdomen. Subsequent SPECT/CT revealed radiotracer-avid calcified  hepatic lesions and extensive non-avid metastatic lesions, however no  osteoblastic metastasis. Ultrasound-guided core  biopsy confirmed  extensive hepatic metastases secondary to ductal carcinoma of the breast.  This highlights the critical role of SPECT/CT in precisely identifying and  characterizing  lesions,  aiding in  advanced  breast  cancer diagnosis  and  management planning.

Bangladesh J. Nuclear Med. 27(1): 121-126, 2024

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Published

2024-06-23

How to Cite

Akhter, A., Sharmin, S. ., Rahman, F., Islam, S., Hossain, S., Afrin, R., Biswas, T., Begum, R., Biswas, S. K., Haque, J. A., & Mahmud, M. A. U. Z. (2024). The Intricate Diagnostic Journey of a Breast Cancer Patient, Revealing Extensive Hepatic Metastasis Through Extraosseous Uptake in Planar Bone Scintigraphy and SPECT-CT Precision Mapping. Bangladesh Journal of Nuclear Medicine, 27(1), 121–126. https://doi.org/10.3329/bjnm.v27i1.71527

Issue

Vol. 27 No. 1 (2024)

Section

Case Reports

License

All rights reserved to Editor-in-Chief, Bangladesh Journal of Nuclear Medicine, Society of Nuclear Medicine, Bangladesh