Molecular Imaging with <sup>18</sup>F-FDG PET/CT and <sup>99m</sup>Tc-MIBI SPECT/CT in Osteitis Fibrosa Cystica Generalisata

Benign so-called “brown tumors” secondary to hyperparathyroidism are a rare diagnostic pitfall due to their impressively malignant-like character in various imaging modalities. We present the case of a 65-year-old male patient with multiple unclear osteolytic lesions on prior imaging suspicious for...

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Main Authors: Adrien Holzgreve, Matthias P. Fabritius, Thomas Knösel, Lena M. Mittlmeier, Johannes Rübenthaler, Reinhold Tiling, Christoph J. Auernhammer, Peter Bartenstein, Marcus Unterrainer
Format: Article
Language:English
Published: MDPI AG 2021-07-01
Series:Diagnostics
Subjects:
Online Access:https://www.mdpi.com/2075-4418/11/8/1355
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spelling doaj-02e457dc1b7d485ebf5e704a47c7df3c2021-08-26T13:40:02ZengMDPI AGDiagnostics2075-44182021-07-01111355135510.3390/diagnostics11081355Molecular Imaging with <sup>18</sup>F-FDG PET/CT and <sup>99m</sup>Tc-MIBI SPECT/CT in Osteitis Fibrosa Cystica GeneralisataAdrien Holzgreve0Matthias P. Fabritius1Thomas Knösel2Lena M. Mittlmeier3Johannes Rübenthaler4Reinhold Tiling5Christoph J. Auernhammer6Peter Bartenstein7Marcus Unterrainer8Department of Nuclear Medicine, University Hospital, LMU Munich, 81377 Munich, GermanyDepartment of Radiology, University Hospital, LMU Munich, 81377 Munich, GermanyInstitute of Pathology, Faculty of Medicine, LMU Munich, 81377 Munich, GermanyDepartment of Nuclear Medicine, University Hospital, LMU Munich, 81377 Munich, GermanyDepartment of Radiology, University Hospital, LMU Munich, 81377 Munich, GermanyDepartment of Nuclear Medicine, University Hospital, LMU Munich, 81377 Munich, GermanyDepartment of Medicine IV, University Hospital, LMU Munich, 81377 Munich, GermanyDepartment of Nuclear Medicine, University Hospital, LMU Munich, 81377 Munich, GermanyDepartment of Radiology, University Hospital, LMU Munich, 81377 Munich, GermanyBenign so-called “brown tumors” secondary to hyperparathyroidism are a rare diagnostic pitfall due to their impressively malignant-like character in various imaging modalities. We present the case of a 65-year-old male patient with multiple unclear osteolytic lesions on prior imaging suspicious for metastatic malignant disease. Eventually, findings of <sup>18</sup>F-FDG PET/CT staging and <sup>99m</sup>Tc-MIBI scintigraphy resulted in revision of the initially suspected malignant diagnosis. This case illustrates how molecular imaging findings non-invasively corroborate the correct diagnosis of osteitis fibrosa cystica generalisata with the formation of multiple benign brown tumors.https://www.mdpi.com/2075-4418/11/8/1355<sup>18</sup>F-FDG PET/CT<sup>99m</sup>Tc-MIBI SPECT/CTpitfallosteitis fibrosa cystica generalisatabrown tumorparathyroid adenoma
collection DOAJ
language English
format Article
sources DOAJ
author Adrien Holzgreve
Matthias P. Fabritius
Thomas Knösel
Lena M. Mittlmeier
Johannes Rübenthaler
Reinhold Tiling
Christoph J. Auernhammer
Peter Bartenstein
Marcus Unterrainer
spellingShingle Adrien Holzgreve
Matthias P. Fabritius
Thomas Knösel
Lena M. Mittlmeier
Johannes Rübenthaler
Reinhold Tiling
Christoph J. Auernhammer
Peter Bartenstein
Marcus Unterrainer
Molecular Imaging with <sup>18</sup>F-FDG PET/CT and <sup>99m</sup>Tc-MIBI SPECT/CT in Osteitis Fibrosa Cystica Generalisata
Diagnostics
<sup>18</sup>F-FDG PET/CT
<sup>99m</sup>Tc-MIBI SPECT/CT
pitfall
osteitis fibrosa cystica generalisata
brown tumor
parathyroid adenoma
author_facet Adrien Holzgreve
Matthias P. Fabritius
Thomas Knösel
Lena M. Mittlmeier
Johannes Rübenthaler
Reinhold Tiling
Christoph J. Auernhammer
Peter Bartenstein
Marcus Unterrainer
author_sort Adrien Holzgreve
title Molecular Imaging with <sup>18</sup>F-FDG PET/CT and <sup>99m</sup>Tc-MIBI SPECT/CT in Osteitis Fibrosa Cystica Generalisata
title_short Molecular Imaging with <sup>18</sup>F-FDG PET/CT and <sup>99m</sup>Tc-MIBI SPECT/CT in Osteitis Fibrosa Cystica Generalisata
title_full Molecular Imaging with <sup>18</sup>F-FDG PET/CT and <sup>99m</sup>Tc-MIBI SPECT/CT in Osteitis Fibrosa Cystica Generalisata
title_fullStr Molecular Imaging with <sup>18</sup>F-FDG PET/CT and <sup>99m</sup>Tc-MIBI SPECT/CT in Osteitis Fibrosa Cystica Generalisata
title_full_unstemmed Molecular Imaging with <sup>18</sup>F-FDG PET/CT and <sup>99m</sup>Tc-MIBI SPECT/CT in Osteitis Fibrosa Cystica Generalisata
title_sort molecular imaging with <sup>18</sup>f-fdg pet/ct and <sup>99m</sup>tc-mibi spect/ct in osteitis fibrosa cystica generalisata
publisher MDPI AG
series Diagnostics
issn 2075-4418
publishDate 2021-07-01
description Benign so-called “brown tumors” secondary to hyperparathyroidism are a rare diagnostic pitfall due to their impressively malignant-like character in various imaging modalities. We present the case of a 65-year-old male patient with multiple unclear osteolytic lesions on prior imaging suspicious for metastatic malignant disease. Eventually, findings of <sup>18</sup>F-FDG PET/CT staging and <sup>99m</sup>Tc-MIBI scintigraphy resulted in revision of the initially suspected malignant diagnosis. This case illustrates how molecular imaging findings non-invasively corroborate the correct diagnosis of osteitis fibrosa cystica generalisata with the formation of multiple benign brown tumors.
topic <sup>18</sup>F-FDG PET/CT
<sup>99m</sup>Tc-MIBI SPECT/CT
pitfall
osteitis fibrosa cystica generalisata
brown tumor
parathyroid adenoma
url https://www.mdpi.com/2075-4418/11/8/1355
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