Axillary Apocrine Carcinoma with Bone Metastasis: First Report with Bone Scan Image

Sun Yu, Gui Jicong, Lu Yiping, Xing-Dang Liu, Zhu Xiaoli, Cheng Jingyi and Geng Daoying

Department of Nuclear Medicine, Fudan University, China
Department of Radiology, Fudan University, China
Department of Pathology, Fudan University Shanghai Cancer Center, China
Department of Nuclear Medicine, Fudan University Cancer Hospital, China

^*Correspondance to: Xing-Dang Liu 

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Abstract:

Apocrine carcinoma is a rare malignant neoplasm with differentiation towards apocrine glands. Rare cases of apocrine carcinoma are reported to have bone metastasis, and their bone scan images have never been showed in the literature. We report a case of a 59-year-old man with a painless tumor of the left axilla and first showed his image of ^99mTc-MDP SPECT-CT bone scan. The patient underwent excision of the left axilla with left axillary lymphnode resection twice. Eight years later after his carcinoma was diagnosed, the patient noted intermittent pain in his back, and ^99mTc-MDP SPECT-CT bone scan showed increased radioactivity in his bones. We discuss apocrine carcinoma with bone metastasis and review pertinent literature. We find osteogenic metastasis is a main style of the bone metastasis of apocrine carcinoma and should not be only limited in axial skeleton. The whole-body bone scan exam must be recommended for patients with apocrine carcinoma, even when they have lived more than 5 years after the surgery.

Keywords:

Apocrine carcinoma; SPECT-CT; Bone scan

Cite the Article:

Yu S, Jicong G, Yiping L, Liu X-D, Xiaoli Z, Jingyi C, et al. Axillary Apocrine Carcinoma with Bone Metastasis: First Report with Bone Scan Image. Ann Clin Case Rep. 2017; 2: 1392.