Focal therapy of prostate cancer: Assessment with prostate-specific membrane antigen (PSMA) imaging

被引:2
作者
Topoozian, Mark [1 ]
Calais, Jeremie [2 ]
Felker, Ely [3 ]
Sisk, Anthony [4 ]
Gonzalez, Samantha [1 ]
Lee, Sean J. [1 ]
Marks, Leonard S. [1 ]
机构
[1] David Geffen Sch Med UCLA, Dept Urol, Los Angeles, CA 90024 USA
[2] David Geffen Sch Med UCLA, Dept Nucl Med, Los Angeles, CA USA
[3] David Geffen Sch Med UCLA, Dept Radiol, Los Angeles, CA USA
[4] David Geffen Sch Med UCLA, Dept Pathol, Los Angeles, CA USA
关键词
Prostate cancer; Focal therapy; PSMA; HIFU;
D O I
10.1016/j.eucr.2023.102461
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Focal therapy of prostate cancer (PCa) is currently of great interest, but a metric of success. other than biopsy, is not yet available. In a patient with a repeatedly negative MRI and negative systematic biopsies, a scan employing the radioisotope 68Ga-PSMA-11 PET/CT identified a PSMA-avid hotspot in the prostate. PSMA-guided biopsy confirmed the diagnosis of a clinically-significant PCa. Following ablation of the lesion with high-intensity focused ultrasound (HIFU), the PSMA-avid lesion disappeared and targeted biopsy confirmed a fibrotic scar with no residual cancer. PSMA imaging may have a role in guiding diagnosis, focal ablation, and follow-up of men with PCa.
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页数:3
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