Solitary castrate-resistant prostate cancer metastasis to adrenal gland with concordant intense avidity on PSMA and FDG PET

被引：7
|
作者：
McGeorge, Stephen [1 ,2 ]
Phillips, Reece [3 ]
Rukin, Nicholas J. [2 ,3 ]
Reynolds, Jamie [1 ]
Roberts, Matthew J. [1 ,2 ,3 ,4 ]
机构：
[1] Royal Brisbane & Womens Hosp, Dept Urol, Butterfield St, Herston, Qld 4029, Australia
[2] Univ Queensland, Fac Med, Herston, Qld 4006, Australia
[3] Redcliffe Hosp, Dept Urol, Anzac Ave, Redcliffe, Qld 4020, Australia
[4] Univ Queensland, Clin Res Ctr, Fac Med, Bldg 71/918 RBWH Butterfield St, Herston, Qld 4029, Australia
来源：
UROLOGY CASE REPORTS | 2021年 / 38卷
关键词：
Prostate cancer; Prostate specific membrane antigen; PSMA; Fluorodeoxyglucose; FDG; Adrenalectomy;
D O I：
10.1016/j.eucr.2021.101696
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：
Isolated prostate cancer metastasis to the adrenal gland is rare. We report a case of concordant high uptake in a solitary adrenal metastasis on both prostate-specific membrane antigen and fluorodeoxyglucose positron-emission tomography in a patient with castrate-resistant prostate cancer. Good initial biochemical response was achieved with lapamscopic adrenalectomy. The patient developed lymph node recurrence 12 months later, although remains asymptomatic on hormonal treatment 22 months post-operatively, in keeping with prior results for metastasis-directed therapy which can delay time to additional treatment. Application of dual tracer PET can be valuable for prostate cancer staging and guidance of metastasis-directed treatment.
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页数：3
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