(68)Ga PSMA Uptake at Roux-en-Y Eso-jejunostomy Junction Mimicking the Recurrence of Gastric Carcinoma in PET/CT

A 67-year-old male patient had undergone total gastrectomy and Roux-en-Y eso-jejunostomy 3 years ago for the treatment of tubular adenocarcinoma located at the corpus of the stomach. The patient was diagnosed with Gleason score 8 (4+4) metastatic prostate cancer during the follow-up period and recei...

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Autores principales: Arslan, Esra, Aksoy, Tamer, Cin, Merve, Çakır, Coşkun, Can Trabulus, Fadime Didem, Çermik, Tevfik Fikret
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Galenos Publishing 2021
Materias:
Interesting Image
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7885274/
https://www.ncbi.nlm.nih.gov/pubmed/33586413
http://dx.doi.org/10.4274/mirt.galenos.2020.86729
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author Arslan, Esra
Aksoy, Tamer
Cin, Merve
Çakır, Coşkun
Can Trabulus, Fadime Didem
Çermik, Tevfik Fikret
author_facet Arslan, Esra
Aksoy, Tamer
Cin, Merve
Çakır, Coşkun
Can Trabulus, Fadime Didem
Çermik, Tevfik Fikret
author_sort Arslan, Esra
collection PubMed
description A 67-year-old male patient had undergone total gastrectomy and Roux-en-Y eso-jejunostomy 3 years ago for the treatment of tubular adenocarcinoma located at the corpus of the stomach. The patient was diagnosed with Gleason score 8 (4+4) metastatic prostate cancer during the follow-up period and received hormone therapy. Owing to his elevated prostate-specific antigen levels (77 ng/mL), his clinician referred him gallium-68 ((68)Ga) prostate-specific membrane antigen 11 (PSMA) positron emission tomography/computed tomography (PET/CT) for restaging. PET/CT showed multiple (68)Ga PSMA receptor-positive skeletal lesions and linear PSMA activity at the eso-jejunostomy junction. He was then referred to undergo (18)fluorine-fluorodeoxyglucose ((18)F-FDG) PET/CT to screen for gastric carcinoma recurrence. PET/CT images demonstrated no (18)F-FDG avid lesion. However, endoscopy and biopsy performed with samples from the eso-jejunostomy junction revealed superficial benign squamous epithelial fragments.
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spelling pubmed-78852742021-02-23 (68)Ga PSMA Uptake at Roux-en-Y Eso-jejunostomy Junction Mimicking the Recurrence of Gastric Carcinoma in PET/CT Arslan, Esra Aksoy, Tamer Cin, Merve Çakır, Coşkun Can Trabulus, Fadime Didem Çermik, Tevfik Fikret Mol Imaging Radionucl Ther Interesting Image A 67-year-old male patient had undergone total gastrectomy and Roux-en-Y eso-jejunostomy 3 years ago for the treatment of tubular adenocarcinoma located at the corpus of the stomach. The patient was diagnosed with Gleason score 8 (4+4) metastatic prostate cancer during the follow-up period and received hormone therapy. Owing to his elevated prostate-specific antigen levels (77 ng/mL), his clinician referred him gallium-68 ((68)Ga) prostate-specific membrane antigen 11 (PSMA) positron emission tomography/computed tomography (PET/CT) for restaging. PET/CT showed multiple (68)Ga PSMA receptor-positive skeletal lesions and linear PSMA activity at the eso-jejunostomy junction. He was then referred to undergo (18)fluorine-fluorodeoxyglucose ((18)F-FDG) PET/CT to screen for gastric carcinoma recurrence. PET/CT images demonstrated no (18)F-FDG avid lesion. However, endoscopy and biopsy performed with samples from the eso-jejunostomy junction revealed superficial benign squamous epithelial fragments. Galenos Publishing 2021-02 2021-02-09 /pmc/articles/PMC7885274/ /pubmed/33586413 http://dx.doi.org/10.4274/mirt.galenos.2020.86729 Text en ©Copyright 2021 by Turkish Society of Nuclear Medicine | Molecular Imaging and Radionuclide Therapy published by Galenos Yayınevi. http://creativecommons.org/licenses/by/2.5/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Interesting Image
Arslan, Esra
Aksoy, Tamer
Cin, Merve
Çakır, Coşkun
Can Trabulus, Fadime Didem
Çermik, Tevfik Fikret
(68)Ga PSMA Uptake at Roux-en-Y Eso-jejunostomy Junction Mimicking the Recurrence of Gastric Carcinoma in PET/CT
title (68)Ga PSMA Uptake at Roux-en-Y Eso-jejunostomy Junction Mimicking the Recurrence of Gastric Carcinoma in PET/CT
title_full (68)Ga PSMA Uptake at Roux-en-Y Eso-jejunostomy Junction Mimicking the Recurrence of Gastric Carcinoma in PET/CT
title_fullStr (68)Ga PSMA Uptake at Roux-en-Y Eso-jejunostomy Junction Mimicking the Recurrence of Gastric Carcinoma in PET/CT
title_full_unstemmed (68)Ga PSMA Uptake at Roux-en-Y Eso-jejunostomy Junction Mimicking the Recurrence of Gastric Carcinoma in PET/CT
title_short (68)Ga PSMA Uptake at Roux-en-Y Eso-jejunostomy Junction Mimicking the Recurrence of Gastric Carcinoma in PET/CT
title_sort (68)ga psma uptake at roux-en-y eso-jejunostomy junction mimicking the recurrence of gastric carcinoma in pet/ct
topic Interesting Image
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7885274/
https://www.ncbi.nlm.nih.gov/pubmed/33586413
http://dx.doi.org/10.4274/mirt.galenos.2020.86729
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