Distribution of Femoral Metastases; Potential Role for Extended FDG PET/CT Scanning. (20th April 2020)

• Record Type: Journal Article
• Authors: Issa, Ghada; Khan, Sonya; Mulligan, Michael
• Is Part Of: Cancer investigation. Volume 38:Number 4(2020)
• Page Start: 250
• Page End: 256
• Publication Date: 2020-04-20
• Subjects: Femur -- metastases -- FDG PET/CT; Cancer -- Periodicals; Oncology -- Periodicals; Medical Oncology -- Periodicals; Neoplasms -- Periodicals; 616.994
• DOI: 10.1080/07357907.2020.1735407
• Languages: English
• ISSNs: 0735-7907

Abstract

Abstract: This study investigates the distribution of femoral metastases in cancer patients, specifically addressing the incidence of distal femoral metastases. PET/CT examinations routinely extend only to mid-thigh level, precluding detection of distal metastases. We found a total of 208 femoral metastases in 112 patients. 30% had distal femoral metastases in addition to other areas of involvement. 7% of patients with femoral metastases had only distal femur disease. 6 patients had distal pathologic fractures. Exclusion of the distal femur during PET/CT may result in a missed or delayed diagnosis that could contribute to the development of a pathologic fracture with increased morbidity.