ABSTRACT
No disponible
Subject(s)
Humans , Female , Middle Aged , Carcinoma, Neuroendocrine/complications , Carcinoma, Neuroendocrine , Paranasal Sinus Neoplasms/complications , Paranasal Sinus Neoplasms , Positron-Emission Tomography/instrumentation , Positron-Emission Tomography/methods , Nuclear Medicine/methods , Immunohistochemistry/instrumentation , Immunohistochemistry/methods , ImmunohistochemistrySubject(s)
Carcinoma, Neuroendocrine/diagnostic imaging , Carcinoma, Small Cell/diagnostic imaging , Paranasal Sinus Neoplasms/diagnostic imaging , Positron Emission Tomography Computed Tomography , Radiopharmaceuticals , Ethmoid Sinus/diagnostic imaging , Female , Humans , Maxillary Sinus Neoplasms/diagnostic imaging , Middle AgedABSTRACT
99mTc-Methylene diphosphonate (MDP) triple phase bone scintigraphy (BS) has a role in early diagnosis of Kienbock's disease, especially when the X-ray is negative. Early diagnosis can result in prompt management of the patient since wrist pain in older individuals due to aging may go unnoticed or be due to other diagnoses with the production of greater damage and eventually a worse prognosis. Herein, we present a case report of a 29-year-old female with Kienbock's disease in whom the X-ray was negative and MRI incorrect. The 99mTc-MDP SPECT/CT BS helped the diagnosis of the disease in an early stage (stage 1) and had a clinical impact on the patient's management (AU)
La gammagrafía ósea en tres fases con 99mTc-metilendifosfonato (MDP) tiene un papel en el diagnóstico precoz de la enfermedad de Kienbock, especialmente cuando el estudio radiológico es negativo. El diagnóstico precoz puede conducir a un rápido manejo del paciente ya que el dolor de muñeca en individuos mayores de edad debido al envejecimiento puede pasar desapercibido o ser debido a otros diagnósticos con la producción de una lesión mayor y, eventualmente, un peor pronóstico. Presentamos un caso de una mujer de 29 años con enfermedad de Kienbock en la que el estudio radiológico fue negativo y la RM equívoca. La SPECT/TC ósea con 99mTc-MDP ayudó al diagnóstico en una etapa precoz de la enfermedad (estadio 1) y tuvo un impacto clínico en el manejo del paciente (AU)
Subject(s)
Humans , Female , Adult , Osteonecrosis , Tomography, Emission-Computed, Single-Photon/methods , Lunate Bone , Technetium Tc 99m Medronate , Early DiagnosisABSTRACT
(99m)Tc-Methylene diphosphonate (MDP) triple phase bone scintigraphy (BS) has a role in early diagnosis of Kienbock's disease, especially when the X-ray is negative. Early diagnosis can result in prompt management of the patient since wrist pain in older individuals due to aging may go unnoticed or be due to other diagnoses with the production of greater damage and eventually a worse prognosis. Herein, we present a case report of a 29-year-old female with Kienbock's disease in whom the X-ray was negative and MRI incorrect. The (99m)Tc-MDP SPECT/CT BS helped the diagnosis of the disease in an early stage (stage 1) and had a clinical impact on the patient's management.
