Abstract

A 55 years-old man underwent Whole-Body Computed Tomography (CT) in suspicion of laryngeal carcinoma. The CT highlighted a voluminous neck mass with epicenter in the epiglottic region and latero-cervical lymph-nodal involvement. To assess the presence of bone metastasis and to complete the staging, the patient underwent a whole-body bone scintigraphy with 99mTc- HMDP. At the time of the exam, a significant hypercalcemia was detected. The planar scan showed massive 99mTc-HMDP uptake in liver, lungs, heart and pancreas, compatible with the presence of microcalcifications. The laryngeal biopsy evidenced a squamous poorly differentiated laryngeal carcinoma, justifying the functional findings previously reported.

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