Clinical Impact of 68Ga-PSMA PET/CT in a Patient With Biochemical Recurrence of Prostate Cancer

被引:6
作者
Queiroz, Marcelo A. [1 ]
Viana, Publio [1 ]
Santos, Allan [2 ]
Bastos, Diogo [3 ]
Etchebehere, Elba [2 ]
Cerri, Giovanni [1 ]
机构
[1] Sirio Libanes Hosp, Div Radiol, Sao Paulo, Brazil
[2] Sirio Libanes Hosp, Div Nucl Med, Sao Paulo, Brazil
[3] Sirio Libanes Hosp, Med Oncol Ctr, Sao Paulo, Brazil
关键词
PET/CT; 68Ga-PSMA; prostate cancer; radical prostatectomy; biochemical recurrence; metastasis; RADICAL PROSTATECTOMY; LIGAND;
D O I
10.1097/RLU.0000000000001264
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 64-year-old man with history of prostate adenocarcinoma underwent radical prostatectomy in 2003. He remained with undetectable prostate-specific antigen (PSA) levels until 2014, when he then presented rising serum PSA levels and performed a Tc-99m-MDP bone scan that was negative for metastases. In August 2015, his PSA was 4.89 ng/dL, and restaging images with pelvic MR and F-18-FDG PET/CT were both negative. Therefore, the patient underwent a Ga-68-PSMA PET/CT that showed marked tracer uptake in a single mediastinal lymph node. Histopathology demonstrated metastatic adenocarcinoma secondary to prostate cancer, altering patient management to hormone therapy instead of pelvic radiotherapy.
引用
收藏
页码:E417 / E419
页数:3
相关论文
共 9 条
[1]   PET imaging with a [68Ga]gallium-labelled PSMA ligand for the diagnosis of prostate cancer: biodistribution in humans and first evaluation of tumour lesions [J].
Afshar-Oromieh, A. ;
Malcher, A. ;
Eder, M. ;
Eisenhut, M. ;
Linhart, H. G. ;
Hadaschik, B. A. ;
Holland-Letz, T. ;
Giesel, F. L. ;
Kratochwil, C. ;
Haufe, S. ;
Haberkorn, U. ;
Zechmann, C. M. .
EUROPEAN JOURNAL OF NUCLEAR MEDICINE AND MOLECULAR IMAGING, 2013, 40 (04) :486-495
[2]   Comparison of PET imaging with a 68Ga-labelled PSMA ligand and 18F-choline-based PET/CT for the diagnosis of recurrent prostate cancer [J].
Afshar-Oromieh, Ali ;
Zechmann, Christian M. ;
Malcher, Anna ;
Eder, Matthias ;
Eisenhut, Michael ;
Linhart, Heinz G. ;
Holland-Letz, Tim ;
Hadaschik, Boris A. ;
Giesel, Frederik L. ;
Debus, Juergen ;
Haberkorn, Uwe .
EUROPEAN JOURNAL OF NUCLEAR MEDICINE AND MOLECULAR IMAGING, 2014, 41 (01) :11-20
[3]   68Ga-PSMA PET/CT for restaging recurrent prostate cancer: which factors are associated with PET/CT detection rate? [J].
Ceci, Francesco ;
Uprimny, Christian ;
Nilica, Bernhard ;
Geraldo, Llanos ;
Kendler, Dorota ;
Kroiss, Alexander ;
Bektic, Jasmin ;
Horninger, Wolfgang ;
Lukas, Peter ;
Decristoforo, Clemens ;
Castellucci, Paolo ;
Fanti, Stefano ;
Virgolini, Irene J. .
EUROPEAN JOURNAL OF NUCLEAR MEDICINE AND MOLECULAR IMAGING, 2015, 42 (08) :1284-1294
[4]   Prostate-Specific Membrane Antigen-Based Imaging in Prostate Cancer: Impact on Clinical Decision Making Process [J].
Demirkol, Mehmet Onur ;
Acar, Omer ;
Ucar, Burcu ;
Ramazanoglu, Sultan Rana ;
Saglican, Yesim ;
Esen, Tarik .
PROSTATE, 2015, 75 (07) :748-757
[5]   Evaluation of Hybrid 68Ga-PSMA Ligand PET/CT in 248 Patients with Biochemical Recurrence After Radical Prostatectomy [J].
Eiber, Matthias ;
Maurer, Tobias ;
Souvatzoglou, Michael ;
Beer, Ambros J. ;
Ruffani, Alexander ;
Haller, Bernhard ;
Graner, Frank-Philipp ;
Kuebler, Hubert ;
Haberhorn, Uwe ;
Eisenhut, Michael ;
Wester, Hans-Juergen ;
Gschwend, Juergen E. ;
Schwaiger, Markus .
JOURNAL OF NUCLEAR MEDICINE, 2015, 56 (05) :668-674
[6]   Prospective comparison of computed tomography, diffusion-weighted magnetic resonance imaging and [11C]choline positron emission tomography/computed tomography for preoperative lymph node staging in prostate cancer patients [J].
Heck, Matthias M. ;
Souvatzoglou, Michael ;
Retz, Margitta ;
Nawroth, Roman ;
Kuebler, Hubert ;
Maurer, Tobias ;
Thalgott, Mark ;
Gramer, Bettina M. ;
Weirich, Gregor ;
Rondak, Ina-Christine ;
Rummeny, Ernst J. ;
Schwaiger, Markus ;
Gschwend, Jurgen E. ;
Krause, Bernd ;
Eiber, Matthias .
EUROPEAN JOURNAL OF NUCLEAR MEDICINE AND MOLECULAR IMAGING, 2014, 41 (04) :694-701
[7]   Molecular imaging of prostate cancer: translating molecular biology approaches into the clinical realm [J].
Vargas, Hebert Alberto ;
Grimm, Jan ;
Donati, Olivio F. ;
Sala, Evis ;
Hricak, Hedvig .
EUROPEAN RADIOLOGY, 2015, 25 (05) :1294-1302
[8]   Extent of disease in recurrent prostate cancer determined by [68Ga]PSMA-HBED-CC PET/CT in relation to PSA levels, PSA doubling time and Gleason score [J].
Verburg, Frederik A. ;
Pfister, David ;
Heidenreich, Axel ;
Vogg, Andreas ;
Drude, Natascha I. ;
Voo, Stefan ;
Mottaghy, Felix M. ;
Behrendt, Florian F. .
EUROPEAN JOURNAL OF NUCLEAR MEDICINE AND MOLECULAR IMAGING, 2016, 43 (03) :397-403
[9]   The long-term clinical impact of biochemical recurrence of prostate cancer 5 or more years after radical prostatectomy [J].
Ward, JF ;
Blute, ML ;
Slezak, J ;
Bergstralh, EJ ;
Zincke, H .
JOURNAL OF UROLOGY, 2003, 170 (05) :1872-1876