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Fig. 5 | World Journal of Surgical Oncology

Fig. 5

From: Joint-preserving palliative surgery using self-locking screws of intramedullary nail and percutaneous cementoplasty for proximal humeral metastasis in the advanced cancer patients

Fig. 5

Suppression of tumor progression by self-locking screws with PC. A 48-year-old woman with multiple bone metastases due to salivary gland tumor. Preoperative maximal intensity projection (MIP) (a) and transaxial (b) images of F-18-FDG PET/CT show hypermetabolic lesions in the left (arrow; maximum standardized uptake value [SUVmax] = 11.4) and right (arrowhead; SUVmax = 2.8) proximal humerus. Six months postoperatively, the MIP (c) and transaxial (d) images of F-18-FDG PET/CT demonstrated tumor suppression of the right proximal humus, the op. site (arrow; SUVmax = 5.5). However, naive metastatic area left proximal humerus (arrowheads; SUVmax = 3.8) reveal tumor aggravation of bone metastasis, and multiple new metastatic lesions were found in the lungs and T10 and L3 spines

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