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Beyond the Usual Suspects: Abdominal Wall Metastases in Prostate Cancer Diagnosed by 68Ga-PMSA PET/CT
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68Ga-PMSA PET imaging has revolutionized both diagnosis and radioligand therapy selection in patients withmetastatic prostate cancer. We report the case of a 63-year-old man with prostate adenocarcinoma who underwentradical prostatectomy followed by radiation therapy and ADT. Found to have rising PSA levels and referred for 68Ga-PSMA PET/CT for restaging. 68Ga-PSMA PET/CT showed multiple suspicious 68Ga-PSMA PSMA avid mediastinallymph nodes and an avid lesion in the right lower anterior abdominal wall; suspicious for metastasis.Ultrasonography guided biopsy showed metastatic prostate adenocarcinoma. In our cases, 68Ga-PSMA PET/CTidentified the unexpected metastatic site which leads to change patient management and potentially improvingpatient outcome.Keywords: 68Ga-PSMA PET/CT; prostate cancer; anterior abdominal wall metastasis.
Pakistan Medical Association
Title: Beyond the Usual Suspects: Abdominal Wall Metastases in Prostate Cancer Diagnosed by 68Ga-PMSA PET/CT
Description:
68Ga-PMSA PET imaging has revolutionized both diagnosis and radioligand therapy selection in patients withmetastatic prostate cancer.
We report the case of a 63-year-old man with prostate adenocarcinoma who underwentradical prostatectomy followed by radiation therapy and ADT.
Found to have rising PSA levels and referred for 68Ga-PSMA PET/CT for restaging.
68Ga-PSMA PET/CT showed multiple suspicious 68Ga-PSMA PSMA avid mediastinallymph nodes and an avid lesion in the right lower anterior abdominal wall; suspicious for metastasis.
Ultrasonography guided biopsy showed metastatic prostate adenocarcinoma.
In our cases, 68Ga-PSMA PET/CTidentified the unexpected metastatic site which leads to change patient management and potentially improvingpatient outcome.
Keywords: 68Ga-PSMA PET/CT; prostate cancer; anterior abdominal wall metastasis.
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