Use of 18F-choline positron emission tomography/CT in high-risk prostate cancer: A case of solitary adrenal metastasis - Abstract

Computed tomography and magnetic resonance imaging detected an isolated adrenal lesion in an elderly man with high-risk prostate cancer who was undergoing radiotherapy (RT) and hormonal therapy (HT).

When prostate-specific antigen (PSA) was 31.66 ng/mL, the lesion was not identified as a metastasis by 18F-choline positron emission tomography/computed tomography (18F-choline-PET/CT). When PSA was over 100 ng/mL, 18F-choline-PET/CT diagnosed the malignancy. After adrenalectomy, PSA returned to normal, and stable disease remission was obtained. This case suggests that atypical metastasis may be underdiagnosed.

Written by:
Matrone F, Sivolella S, Bellavita R, Casciola L, Cristallini EG, Aristei C.   Are you the author?
Radiation Oncology Section, 06156 Perugia, Italy.

Reference: Tumori. 2015 Mar 20;101(1):e21-3.
doi: 10.5301/tj.5000260

PubMed Abstract
PMID: 25702663 Prostate Cancer Section