Intense PSMA Uptake in a Vertebral Hemangioma Mimicking a Solitary Bone Metastasis in the Primary Staging of Prostate Cancer via (68)Ga-PSMA PET/CT

A 78-year-old man with newly diagnosed high-risk prostate cancer underwent (68)Ga-PSMA PET/CT for primary staging. This showed a single, very intense PSMA uptake in the vertebral body of Th2, without discrete morphological changes on low-dose CT. Thus, the patient was considered oligometastatic and...

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Autores principales: Gossili, Farid, Lyngby, Clarissa G., Løgager, Vibeke, Zacho, Helle D.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Interesting Images
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10217523/
https://www.ncbi.nlm.nih.gov/pubmed/37238214
http://dx.doi.org/10.3390/diagnostics13101730
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author Gossili, Farid
Lyngby, Clarissa G.
Løgager, Vibeke
Zacho, Helle D.
author_facet Gossili, Farid
Lyngby, Clarissa G.
Løgager, Vibeke
Zacho, Helle D.
author_sort Gossili, Farid
collection PubMed
description A 78-year-old man with newly diagnosed high-risk prostate cancer underwent (68)Ga-PSMA PET/CT for primary staging. This showed a single, very intense PSMA uptake in the vertebral body of Th2, without discrete morphological changes on low-dose CT. Thus, the patient was considered oligometastatic and underwent MRI of the spine for stereotactic radiotherapy planning. MRI demonstrated an atypical hemangioma in Th2. A bone algorithm CT scan confirmed the MRI findings. The treatment was changed, and the patient underwent a prostatectomy with no concomitant therapy. At three and six months after the prostatectomy, the patient had an unmeasurable PSA level, confirming the benign etiology of the lesion.
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spelling pubmed-102175232023-05-27 Intense PSMA Uptake in a Vertebral Hemangioma Mimicking a Solitary Bone Metastasis in the Primary Staging of Prostate Cancer via (68)Ga-PSMA PET/CT Gossili, Farid Lyngby, Clarissa G. Løgager, Vibeke Zacho, Helle D. Diagnostics (Basel) Interesting Images A 78-year-old man with newly diagnosed high-risk prostate cancer underwent (68)Ga-PSMA PET/CT for primary staging. This showed a single, very intense PSMA uptake in the vertebral body of Th2, without discrete morphological changes on low-dose CT. Thus, the patient was considered oligometastatic and underwent MRI of the spine for stereotactic radiotherapy planning. MRI demonstrated an atypical hemangioma in Th2. A bone algorithm CT scan confirmed the MRI findings. The treatment was changed, and the patient underwent a prostatectomy with no concomitant therapy. At three and six months after the prostatectomy, the patient had an unmeasurable PSA level, confirming the benign etiology of the lesion. MDPI 2023-05-13 /pmc/articles/PMC10217523/ /pubmed/37238214 http://dx.doi.org/10.3390/diagnostics13101730 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Interesting Images
Gossili, Farid
Lyngby, Clarissa G.
Løgager, Vibeke
Zacho, Helle D.
Intense PSMA Uptake in a Vertebral Hemangioma Mimicking a Solitary Bone Metastasis in the Primary Staging of Prostate Cancer via (68)Ga-PSMA PET/CT
title Intense PSMA Uptake in a Vertebral Hemangioma Mimicking a Solitary Bone Metastasis in the Primary Staging of Prostate Cancer via (68)Ga-PSMA PET/CT
title_full Intense PSMA Uptake in a Vertebral Hemangioma Mimicking a Solitary Bone Metastasis in the Primary Staging of Prostate Cancer via (68)Ga-PSMA PET/CT
title_fullStr Intense PSMA Uptake in a Vertebral Hemangioma Mimicking a Solitary Bone Metastasis in the Primary Staging of Prostate Cancer via (68)Ga-PSMA PET/CT
title_full_unstemmed Intense PSMA Uptake in a Vertebral Hemangioma Mimicking a Solitary Bone Metastasis in the Primary Staging of Prostate Cancer via (68)Ga-PSMA PET/CT
title_short Intense PSMA Uptake in a Vertebral Hemangioma Mimicking a Solitary Bone Metastasis in the Primary Staging of Prostate Cancer via (68)Ga-PSMA PET/CT
title_sort intense psma uptake in a vertebral hemangioma mimicking a solitary bone metastasis in the primary staging of prostate cancer via (68)ga-psma pet/ct
topic Interesting Images
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10217523/
https://www.ncbi.nlm.nih.gov/pubmed/37238214
http://dx.doi.org/10.3390/diagnostics13101730
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