Metastatic Poorly Differentiated Prostatic Carcinoma With Neuroendocrine Differentiation Negative on 68Ga-PSMA PET/CT

被引:72
作者
Chakraborty, Partha Sarathi [1 ]
Tripathi, Madhavi [1 ]
Agarwal, Krishan Kant [1 ]
Kumar, Rajeev [1 ]
Vijay, Maneesh Kumar [2 ]
Bal, Chandrasekhar [1 ]
机构
[1] All India Inst Med Sci, Dept Nucl Med, New Delhi 110029, India
[2] All India Inst Med Sci, Dept Pathol, New Delhi 110029, India
关键词
prostate cancer; skeletal scintigraphy; Ga-68-PSMA; PET/CT;
D O I
10.1097/RLU.0000000000000594
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
Glu-NH-CO-NH-Lys-(Ahx)-[Ga-68(HBED-CC)], abbreviated as Ga-68-PSMA, is a novel radiotracer undergoing evaluation for PET/CT imaging of prostate carcinoma. Its major advantage is the sensitive detection of lesions even at low prostate-specific antigen level and high target-to-background ratios obtained in metastatic lesions, which is better than that obtained with F-18-fluoromethylcholine. We present the case of a 28-year-old man with poorly differentiated prostate carcinoma with neuroendocrine differentiation, whose lesions did not show significant Ga-68-PSMA localization. As literature on utility of Ga-68-PSMA PET/CT for imaging prostate carcinoma grows, it is important to be aware of potential false negatives that could influence study results.
引用
收藏
页码:E163 / E166
页数:4
相关论文
共 8 条
[1]   THE COURSE OF NEURO-ENDOCRINE DIFFERENTIATION IN PROSTATIC CARCINOMAS - AN IMMUNOHISTOCHEMICAL STUDY TESTING CHROMOGRANIN-A AS AN ENDOCRINE MARKER [J].
ABRAHAMSSON, PA ;
FALKMER, S ;
FALT, K ;
GRIMELIUS, L .
PATHOLOGY RESEARCH AND PRACTICE, 1989, 185 (03) :373-380
[2]   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
[3]   [68Ga]Gallium-labelled PSMA ligand as superior PET tracer for the diagnosis of prostate cancer: comparison with 18F-FECH [J].
Afshar-Oromieh, A. ;
Haberkorn, U. ;
Eder, M. ;
Eisenhut, M. ;
Zechmann, C. M. .
EUROPEAN JOURNAL OF NUCLEAR MEDICINE AND MOLECULAR IMAGING, 2012, 39 (06) :1085-1086
[4]  
JOHNSON D E, 1972, Journal of Surgical Oncology, V4, P207, DOI 10.1002/jso.2930040305
[5]   The Role of Neuroendocrine Cells in Prostate Cancer: A Comprehensive Review of Current Literature and Subsequent Rationale to Broaden and Integrate Current Treatment Modalities [J].
Lugnani, F. ;
Simone, G. ;
Biava, P. M. ;
Ablin, R. J. .
CURRENT MEDICINAL CHEMISTRY, 2014, 21 (09) :1082-1092
[6]   Heterogeneity of Prostate-Specific Membrane Antigen (PSMA) Expression in Prostate Carcinoma with Distant Metastasis [J].
Mannweiler, Sebastian ;
Amersdorfer, Peter ;
Trajanoski, Slave ;
Terrett, Jonathan A. ;
King, David ;
Mehes, Gabor .
PATHOLOGY & ONCOLOGY RESEARCH, 2009, 15 (02) :167-172
[7]  
Moul Judd W, 2003, Clin Prostate Cancer, V2, P87, DOI 10.3816/CGC.2003.n.015
[8]   Prostate-specific membrane antigen expression is greatest in prostate adenocarcinoma and lymph node metastases [J].
Sweat, SD ;
Pacelli, A ;
Murphy, GP ;
Bostwick, DG .
UROLOGY, 1998, 52 (04) :637-640