Uptake of bone seeking radiotracer in the metastatic lymph node from testicular tumour

The single photon emission tomography integrated with computed tomography (SPECT-CT) of the lumbar region localises the uptake in the L2 vertebra to a lytic sclerotic lesion, confirming bone metastasis (arrows in A and B in figure 2 showing CT and fused SPECT-CT images, respectively). The single photon emission tomography integrated with computed tomography (SPECT-CT) of the lumbar region localises the uptake in the L2 vertebra to a lytic sclerotic lesion, confirming bone metastasis (arrows in A and B showing CT and fused SPECT-CT images, respectively). Testicular cancer is the most common solid malignancy in males within age group of 15–35 years and mixed GCT account for about 40%–50% of them.1 Synchronous metastasis to bone is common in patients with lung and para-aortic node metastases, with most common site being vertebra (79%).2 3 Literature evidence suggests that primary lymph node station for metastasis from left testicular tumour is left para-aortic and preaortic lymph nodes.4 The present case also shows lymph nodal metastatic patterns similar to as described in the literature.