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Hot Spot On The Tibia In The Nuclear Bone Scan. Could This Be Due To Injury? Have Vitamin D Deficiency
I was told today they found a hot spot on my tibia from the nuclear bone scan I had on Monday. Doctor has not gotten bloodwork back yet. She asked me to go get a xray today and I did. Could the hot spot just mean an old injury or something simple or does it mean bone cancer. The reason for the test to start with is I have vitamin d deficiency, low pth calcium high to normal. I also had lobular carcinoma in situ with double mastectomy in 2005. No other treatment. What are your thoughts
Hello, Thanks for writing in. Your clinical information is: 1. Lobular carcinoma in situ breasts treated with double mastectomy in 2005. 2. Vitamin D deficiency with low PTH. Calcium high to normal. 3. Hot spot in tibia on nuclear bone scan.
With the above information, The X ray can throw some light on the problem with your tibia. You have not mentioned about any pain over leg though. Usually bone lesions appear later on X ray than on nuclear scan. Nuclear scan is much more sensitive. If desired a MRI scan of leg can also be done. Since you had lobular carcinoma in situ breasts treated with double mastectomy in 2005, its less likely that there is any malignant process in the light of Vitamin D deficiency and low PTH. However, we cannot play guessing games need to surely rule out any new neoplastic process in your tibia.
Hope this helps.
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Hot Spot On The Tibia In The Nuclear Bone Scan. Could This Be Due To Injury? Have Vitamin D Deficiency
Hello, Thanks for writing in. Your clinical information is: 1. Lobular carcinoma in situ breasts treated with double mastectomy in 2005. 2. Vitamin D deficiency with low PTH. Calcium high to normal. 3. Hot spot in tibia on nuclear bone scan. With the above information, The X ray can throw some light on the problem with your tibia. You have not mentioned about any pain over leg though. Usually bone lesions appear later on X ray than on nuclear scan. Nuclear scan is much more sensitive. If desired a MRI scan of leg can also be done. Since you had lobular carcinoma in situ breasts treated with double mastectomy in 2005, its less likely that there is any malignant process in the light of Vitamin D deficiency and low PTH. However, we cannot play guessing games need to surely rule out any new neoplastic process in your tibia. Hope this helps.