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All Journal Medicinus : Jurnal Kedokteran
Nora A Prasetyo
Department of Nuclear Medicine and Theranostic Molecular Dr. Hasan Sadikin General Hospital Bandung - Faculty of Medicine Universitas Padjadjaran Bandung
Medicine & Pharmacology Public Health

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The Role of Bone Scintigraphy and Parathyroid Scintigraphy on Multiple Osteolytic Lesions Which Misdiagnosed as Primary Bone Tumor (Giant Cell Tumor) Nora A Prasetyo; Budi Darmawan; Erwin Affandi; A. Hussein S. Kartamihardja
Medicinus Vol 10, No 1 (2022): February 2022 - May 2022
Publisher : Fakultas Kedokteran Universitas Pelita Harapan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.19166/med.v10i1.5342

Abstract

Brown tumor is a non-neoplastic lesion that results from abnormal bone metabolism. It can be manifest in prolonged or untreated hyperparathyroidism. The clinical symptoms, radiological and histopathological examination were similar with giant cell tumor and can be mimicking metastases; or even misdiagnosed with giant cell tumor and mistreated the patient. Biochemical examination of calcium levels and parathyroid hormone should be included in the routine assessment of patients with multiple osteolytic lesions. A multidiscipline approach is needed.Throughout this case report, we would like to report the important role of Nuclear Medicine and Molecular Theranostic imaging modality in a 38-year-old male with multiple osteolytic lesions, which was first diagnosed as giant cell tumor and differential diagnosis bone metastases but turned out to be a metabolic bone disease (brown tumor) with parathyroid adenoma as etiology.
Co-Authors A. Hussein S. Kartamihardja Budi Darmawan Erwin Affandi