Education, Research & Development

Bone Case 8

Details on the Request Card

85 year old male. Persistently raised alkaline phosphatase and PSA of 5. Refuses prostatic biopsy. ?metastases

Procedure

Anterior and posterior images are shown, 3hrs after injection

scan image

Questions

1) Are there any abnormal areas of uptake?
2) If so, where?
3) What is the likely cause(s) for this?
4) Discuss the role of PSA in determining the need for bone scans in prostate cancer staging.

Click here to see the answer

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The text is entirely the opinion of the author and does not necessarily reflect that of RUH NHS Trust or the Bristol Radiology Training Scheme. Website content devised by Paul McCoubrie.