Diffuse bone metastases on 68Ga-PSMA PET-CT in a patient with prostate cancer and normal bone scan

被引:8
|
作者
Lavalaye, J. [1 ]
Kaldeway, P. [1 ]
van Melick, H. H. E. [2 ]
机构
[1] Sint Antonius Ziekenhuis, Dept Nucl Med, Nieuwegein, Netherlands
[2] Sint Antonius Ziekenhuis, Dept Urol, Nieuwegein, Netherlands
关键词
68Ga-PSMA; PET-CT; Prostate cancer;
D O I
10.1007/s00259-016-3398-1
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
A 75-year-old patient was diagnosed with a Gleason 9 prostate carcinoma. His PSA level was 50.4 ng/ml. Routine bone scintigraphy was negative for metastasis (a). Due to the high tumour grading and relatively high PSA level, Ga-68-PSMA PET-CT was ordered to rule out distant metastases. This scan showed numerous skeletal lesions with high tracer accumulation as sign of diffuse osseous metastases (b). On low-dose CT there were no signs of sclerosis (c). Ga-68-PSMA PET-CT also showed high uptake in the prostate and in para-iliac and para-aortal lymph nodes, without lymph node enlargement. No bone biopsy was obtained to confirm the metastases. Due to this result, the treatment plan was changed to systemic therapy, instead of local therapy.
引用
收藏
页码:1563 / 1564
页数:2
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