Case report: Ewing's sarcoma in distal tibial metaphysis mimicking osteomyelitis

An 11-year-old girl presented with the clinical picture of osteomyelitis of the distal tibia. A bone scintigram, although abnormal, did not confirm the diagnosis, but a 99mTc leucocyte scan showed focal white cell uptake in the distal tibia. This was felt to confirm infection and subsequent aspirati...

Full description

Saved in:
Bibliographic Details
Published inClinical radiology Vol. 48; no. 2; pp. 140 - 142
Main Authors Lyall, H.A., Constant, C.R., Wraight, E.P.
Format Journal Article
LanguageEnglish
Published Amsterdam Elsevier Ltd 01.08.1993
Elsevier
Subjects
Biological and medical sciences
Bone Neoplasms - diagnostic imaging
Child
Diagnosis, Differential
Diagnostic Errors
Diseases of the osteoarticular system
Female
Humans
Medical sciences
Organotechnetium Compounds
Osteomyelitis - diagnostic imaging
Oximes
Radiography
Radionuclide Imaging
Sarcoma, Ewing - diagnostic imaging
Technetium Tc 99m Exametazime
Tibia - diagnostic imaging
Tumors of striated muscle and skeleton
Human
Case study
Radionuclide study
Infection
Ewing sarcoma
Tibia
Osteitis
Diseases of the osteoarticular system
Malignant tumor
Child
Metaphysis
Differential diagnostic
Online AccessGet full text

Cover

More Information
Summary:An 11-year-old girl presented with the clinical picture of osteomyelitis of the distal tibia. A bone scintigram, although abnormal, did not confirm the diagnosis, but a 99mTc leucocyte scan showed focal white cell uptake in the distal tibia. This was felt to confirm infection and subsequent aspiration revealed what was thought to be pus. However, histology of the aspirated material demonstrated Ewing's Sarcoma. The differential diagnosis and the place of scintigraphy in this clinical situation are discussed.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
content type line 23
ObjectType-Report-1
ObjectType-Article-3
ISSN:0009-9260
1365-229X
DOI:10.1016/S0009-9260(05)81091-8