Oncogenic osteomalacia: localization of underlying peripheral mesenchymal tumors with use of Tc 99m sestamibi scintigraphy

To highlight a strategy for potential detection of mesenchymal tumors in oncogenic malacia, as illustrated by 3 cases. Three case reports are presented in which successful localization of the offending neoplasm was accomplished by using whole-body Tc 99m sestamibi scanning. Alternative localization...

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Veröffentlicht in:Endocrine practice 2006-01, Vol.12 (1), p.35-42
Hauptverfasser: Hodgson, Stephen F, Clarke, Bart L, Tebben, Peter J, Mullan, Brian P, Cooney, 3rd, William P, Shives, Thomas C
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container_end_page 42
container_issue 1
container_start_page 35
container_title Endocrine practice
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creator Hodgson, Stephen F
Clarke, Bart L
Tebben, Peter J
Mullan, Brian P
Cooney, 3rd, William P
Shives, Thomas C
description To highlight a strategy for potential detection of mesenchymal tumors in oncogenic malacia, as illustrated by 3 cases. Three case reports are presented in which successful localization of the offending neoplasm was accomplished by using whole-body Tc 99m sestamibi scanning. Alternative localization techniques are also reviewed. Oncogenic osteomalacia occurs infrequently and is caused by neoplasms that secrete phosphatonins, substances that interfere with proximal tubular resorption of phosphorus and can result in phosphaturia, hypophosphatemia, reduced 1,25-dihydroxyvitamin D concentration, and osteomalacia. Removal of the underlying neoplasm results in complete resolution of all biochemical, pathologic, and physical manifestations of this disorder, as shown in our 3 patients. Because the neoplasms are small and can occur in any tissue compartment, they are difficult to localize, a feature that often results in therapeutic failure. We conclude that use of whole-body Tc 99m sestamibi scanning may be an appropriate and cost-effective initial strategy for the localization of peripheral phosphatonin-secreting tumors.
doi_str_mv 10.4158/EP.12.1.35
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Three case reports are presented in which successful localization of the offending neoplasm was accomplished by using whole-body Tc 99m sestamibi scanning. Alternative localization techniques are also reviewed. Oncogenic osteomalacia occurs infrequently and is caused by neoplasms that secrete phosphatonins, substances that interfere with proximal tubular resorption of phosphorus and can result in phosphaturia, hypophosphatemia, reduced 1,25-dihydroxyvitamin D concentration, and osteomalacia. Removal of the underlying neoplasm results in complete resolution of all biochemical, pathologic, and physical manifestations of this disorder, as shown in our 3 patients. Because the neoplasms are small and can occur in any tissue compartment, they are difficult to localize, a feature that often results in therapeutic failure. We conclude that use of whole-body Tc 99m sestamibi scanning may be an appropriate and cost-effective initial strategy for the localization of peripheral phosphatonin-secreting tumors.</abstract><cop>United States</cop><pub>Elsevier Limited</pub><pmid>16524861</pmid><doi>10.4158/EP.12.1.35</doi><tpages>8</tpages></addata></record>
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subjects Aged
Bone Neoplasms - complications
Bone Neoplasms - diagnostic imaging
Bone Neoplasms - pathology
Bone Neoplasms - surgery
Female
Follow-Up Studies
Humans
Male
Mesoderm - pathology
Middle Aged
Neoplasms, Adipose Tissue - complications
Neoplasms, Adipose Tissue - diagnostic imaging
Neoplasms, Adipose Tissue - pathology
Neoplasms, Adipose Tissue - surgery
Neoplasms, Connective Tissue - complications
Neoplasms, Connective Tissue - diagnostic imaging
Neoplasms, Connective Tissue - pathology
Neoplasms, Connective Tissue - surgery
Osteomalacia - diagnostic imaging
Osteomalacia - etiology
Osteomalacia - pathology
Radionuclide Imaging
Risk Assessment
Sampling Studies
Sensitivity and Specificity
Severity of Illness Index
Technetium Tc 99m Sestamibi
title Oncogenic osteomalacia: localization of underlying peripheral mesenchymal tumors with use of Tc 99m sestamibi scintigraphy
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