Signet cell rectal carcinoma with prostatic involvement detected by FAPI-04 PET-MRI fusion.

IF 1.7 Q3 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING European Journal of Hybrid Imaging Pub Date : 2023-12-01 DOI:10.1186/s41824-023-00183-4
K Arun Prashanth, Deepti Jain, R Manikandan, Suman Kalyan, Vimalraj Velayutham, R Surendran
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引用次数: 0

Abstract

A 60-year-old male patient diagnosed with mucinous adenocarcinoma of lower third of rectum underwent abdominoperineal resection and permanent colostomy followed by adjuvant chemotherapy. Response evaluation with F-18 FDG PET-CT showed a complete metabolic response. After 6 months, CEA levels started increasing and clinically a recurrence was suspected. A restaging FDG PET-CT showed no obvious malignant disease. Patient presented again within a month with complaints of urinary retention and haematuria. CEA levels were further elevated, and Ga-68 FAPI-04 (FAPI) PET-CT was performed. FAPI PET-CT revealed prostatic and seminal vesicle disease involvement. Additionally, an MRI of pelvis was done and fused with FAPI PET for confirmation of prostatic involvement.

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FAPI-04 PET-MRI融合检测累及前列腺的印细胞直肠癌。
一位60岁男性患者诊断为直肠下三分之一的粘液腺癌,接受了腹部会阴切除术和永久性结肠造口术,并辅以化疗。F-18 FDG PET-CT反应评估显示完全代谢反应。6个月后,CEA水平开始升高,临床怀疑复发。复诊FDG PET-CT未见明显恶性病变。患者在一个月内再次出现尿潴留和血尿。CEA水平进一步升高,行Ga-68 FAPI-04 (FAPI) PET-CT检查。FAPI PET-CT显示前列腺及精囊病变累及。此外,骨盆MRI检查并与FAPI PET融合以确认前列腺受累。
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来源期刊
European Journal of Hybrid Imaging
European Journal of Hybrid Imaging Computer Science-Computer Science (miscellaneous)
CiteScore
3.40
自引率
0.00%
发文量
29
审稿时长
17 weeks
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