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KMID : 1148920090430050495
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Nuclear Medicine and Molecular Imaging
2009 Volume.43 No. 5 p.495 ~ p.498
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Brown Tumor Shown Flare Phenomenon On Bone Scan After Parathyroidectomy
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Shin Kwang-Ho
Park Seol-Hoon
Baek So-Ra
Chae Sun-Young
Koh Jung-Min
Kim Jae-Seung
Mun Dae-Hyeog
Ryu Jin-Sook
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Abstract
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Brown tumor is the benign bone lesion consists of woven bone and fibrous tissue without matrix, which develop due to chronic excessive osteoclastic activity such as hyperparathyroidism. Usually they appear with normal uptake or occasionally focally increased uptake on bone scan. We present a case with brown tumor shown more increased uptake and more number of lesions on bone scan after parathyroidectomy, and lesser increased uptake on serial bone scans without any other treatment through several months. This finding is thought to be similar to ‘flare phenomenon’ which is occasionally seen after treatment of metastatic bone lesions of malignant cancer, and may represent curative process of brown tumor with rapid normal bone formation.
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KEYWORD
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Brown tumor, bone scan, flare phenomenon, parathyroidectomy
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