Unforeseen COVID-19 on Oncologic Bone Scan with SPECT/CT in a High Prevalence Area

A 65-year-old woman with known diabetes and hypertension underwent a technetium methylene diphosphonate (Tc-99m MDP) bone scan with single photon emission computed tomography/computed tomography (SPECT/CT) for shoulder pain. She was initially treated for breast cancer and later for hepatocellular carcinoma. SPECT/CT showed MDP nonavid and scattered pulmonary ground-glass opacities bilaterally along with rounded nodular densities. Another 56-year-old patient who was newly diagnosed with right breast invasive ductal carcinoma underwent a bone scan with SPECT/CT, which revealed bilateral pulmonary infiltrates. Both patients later tested positive for Coronavirus Disease-2019 (COVID-19). Therefore, nuclear physicians should be watchful of findings related to COVID-19 on SPECT/CT thorax as this is becoming the new normal.

COVID-19’un Yaygın Görüldüğü Bir Bölgede SPECT/BT ile Onkolojik Kemik Taramasında Beklenmedik Şekilde COVID-19 Bulguları

Altmış beş yaşında, diyabetik ve hipertansif olduğu bilinen kadın hastaya omuz ağrısı için tek foton emisyonlu bilgisayarlı tomografi/bilgisayarlı tomografi (SPECT/BT) ile teknesyum metilen difosfonat (Tc-99m MDP) kemik taraması yapıldı. Hasta başlangıçta meme kanseri ve daha sonra hepatosellüler karsinom tedavisi görmüştü. SPECT/BT; MDP tutmayan, iki yanlı, dağınık pulmoner buzlu cam opasiteleri ve yuvarlak nodüler dansiteler gösterdi. Başka bir 56 yaşında yeni teşhis edilmiş sağ memede invaziv duktal karsinomu olan hastada, SPECT/BT ile kemik taraması bilateral pulmoner infiltrasyonları ortaya çıkardı. Bu hastaların her ikisinde de daha sonra Koronavirüs Hastalığı-2019 (COVID-19) testi pozitif saptandı. Bu nedenle, nükleer tıp hekimleri SPECT/BT’de COVID-19’un toraks bulgularına dikkat etmelidir çünkü bu onlar için yeni normal haline gelmiştir

Kaynakça

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Kaynak Göster

Molecular Imaging and Radionuclide Therapy
  • ISSN: 2146-1414
  • Yayın Aralığı: Yılda 3 Sayı
  • Başlangıç: 1992

1.3b463

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