Discordant Uptake on Ga-67 and Tc-99m MDP Scintigraphy in a Patient with Multiple Myeloma: An Indication of Poor Prognosis

Tong Li, Jack Farinhas, K. J. Chun, Leonard M. Freeman

Research output: Contribution to journalArticle

Abstract

A 54-year-old woman with known stage IV multiple myeloma, proved by histologic analysis to be poorly differentiated plasma cell type 2 months earlier, was hospitalized for evaluation of persistent fever. Among other complications, stage IV sacral decubitus ulcers prompted Tc-99m MDP bone scintigraphy and subsequent Ga-67 scintigraphy for the evaluation of possible bone infection. Interestingly, bone infection was excluded, but there was more robust Ga-67 uptake compared with Tc-99m MDP. Previous reports in the literature suggest that this reflects fulminant disease with a poor prognosis.

Original languageEnglish (US)
Pages (from-to)322-324
Number of pages3
JournalClinical nuclear medicine
Volume28
Issue number4
DOIs
StatePublished - Apr 1 2003

Keywords

  • Ga-67 Scintigraphy
  • Multiple Myeloma
  • Radiographic Skeletal Survey
  • Tc-99m MDP Bone Scintigraphy

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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