Metastatic Calcification in the Stomach Demonstrated by a Bone Scan in Bence Jones Lambda Myeloma

A 53-year-old male with Bence Jones lambda myeloma developed hypercalcemia and acute renal failure (calcium 14.4 mg/dl, BUN 40 mg/dl, creatinine 3.0 mg/dl) after initial response to chemotherapy. A 99mTc-MDP bone scan revealed unusual isotope accumulation in the left hypochondrium. Extensive calcium...

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Bibliographic Details
Published in:	Japanese Journal of Medicine Vol. 26; no. 1; pp. 72 - 75
Main Authors:	HIROSE, Yuko, TACHIBANA, Junko, SUGAI, Susumu, KONDA, Susumu, HAYABE, Takahiro, KONISHI, Fumio
Format:	Journal Article
Language:	English
Published:	Japan The Japanese Society of Internal Medicine 1987
Subjects:	99mTc-MDP bone scan Bence Jones lambda myeloma Bence Jones Protein - urine Bone Marrow - pathology Calcinosis - diagnostic imaging Calcinosis - etiology Gastric calcification Humans Hypercalcemia Immunoglobulin lambda-Chains - urine Kidney - pathology Male Middle Aged Multiple Myeloma - complications Multiple Myeloma - diagnostic imaging Multiple Myeloma - pathology Radionuclide Imaging Stomach Diseases - diagnostic imaging Stomach Diseases - etiology
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Summary:	A 53-year-old male with Bence Jones lambda myeloma developed hypercalcemia and acute renal failure (calcium 14.4 mg/dl, BUN 40 mg/dl, creatinine 3.0 mg/dl) after initial response to chemotherapy. A 99mTc-MDP bone scan revealed unusual isotope accumulation in the left hypochondrium. Extensive calcium deposition was confirmed in the gastric mucosa in the postmortem examination. Detection of gastric calcification by a bone scan is very rare. Only two cases of gastric calcification visualized on bone scans can be found in the literature, one with muliple myeloma1) and one in Hodgkin's disease2).
Bibliography:	ObjectType-Case Study-2 SourceType-Scholarly Journals-1 ObjectType-Feature-4 content type line 23 ObjectType-Report-1 ObjectType-Article-3
ISSN:	0021-5120 1881-123X
DOI:	10.2169/internalmedicine1962.26.72