经会阴活检后,会阴针道内前列腺癌播种的诊断具有挑战性:PET-CT 是首选成像技术吗?

IF 0.5 Q4 UROLOGY & NEPHROLOGY
Claudia Fede Spicchiale , Federico De Leonardis , Luca Orecchia , Stefano Germani , Anastasios D. Asimakopoulos , Roberto Miano
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引用次数: 0

摘要

会阴部播种是前列腺活检术后极为罕见的并发症。我们在一名转移性去势抵抗性前列腺癌患者经会阴活检 5 年后发现了会阴局部前列腺腺癌。该肿瘤是在雄激素剥夺治疗期间 PSA 水平突然升高和 CT 扫描阴性后进行的 18F-Fluorocholin 正电子发射计算机断层扫描(18F-FCH PET-CT)中发现的。该病例报告强调了在活组织检查后使用传统的 CT 扫描或核磁共振成像检测会阴部前列腺癌转移时可能遇到的挑战,以及 PET-CT 成像的附加诊断价值。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A challenging diagnosis of prostate cancer seeding in the perineal needle-tract after transperineal biopsy: is PET-CT the imaging of choice?
Perineal seeding is an extremely rare complication after prostate biopsy. We found a perineal localization of prostatic adenocarcinoma 5 years after the transperineal biopsy in a patient with metastatic castration resistant prostate cancer. The tumor was identified by a18F-Fluorocholin positron emission tomography-computed tomography (18F-FCH PET-CT) performed after a sudden rise of PSA levels during androgen deprivation therapy and after a negative CT scan. This case report underscores the challenge one may encounter in detecting perineal prostate cancer metastasis after a biopsy when using traditional imaging with CT scan alone or MRI, and the added diagnostic value of PET-CT imaging.
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来源期刊
Urology Case Reports
Urology Case Reports Medicine-Urology
CiteScore
0.90
自引率
20.00%
发文量
325
审稿时长
37 days
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