99mTc-PSMA and 99mTc-FAPI-46 Uptake in Pulmonary Lymphangitic Carcinomatosis: A Rare Form of Metastasis in Prostate Cancer Patient, Responding to Modified Treatments.

IF 9.6 3区 医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING Clinical Nuclear Medicine Pub Date : 2024-12-01 DOI:10.1097/RLU.0000000000005522
Nasrin Raeisi, Atena Aghaee, Kamran Aryana, Salman Soltani, Hamidreza Ghorbani
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Abstract

Abstract: This case report presents a rare instance of pulmonary lymphangitic carcinomatosis (PLC) in a prostate cancer patient, showcasing uptake of 99mTc-prostate-specific membrane antigen and 99mTc-fibroblast activation protein inhibitor-46 on imaging scans. A 70-year-old man with elevated serum prostate-specific antigen (PSA) levels exhibited respiratory symptoms and was diagnosed with widespread skeletal and pulmonary metastases. Following taxane-based chemotherapy and androgen deprivation therapy, imaging revealed decreased uptake and improvement in clinical symptoms, indicating treatment response. PLC in prostate cancer is exceptionally rare, with only limited documented cases. This report highlights the diagnostic value of 99mTc-prostate-specific membrane antigen and 99mTc-fibroblast activation protein inhibitor scans in identifying PLC and monitoring treatment response, offering insights into the management of this challenging condition.

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肺淋巴结核癌肿的 99mTc-PSMA 和 99mTc-FAPI-46 摄取:前列腺癌患者的一种罕见转移形式,对改良疗法有反应。
摘要:本病例报告介绍了一例罕见的前列腺癌患者肺淋巴管癌肿(PLC),其成像扫描显示了99m锝-前列腺特异性膜抗原和99m锝-成纤维细胞活化蛋白抑制剂-46的摄取。一名 70 岁的男性因血清前列腺特异性抗原(PSA)水平升高而出现呼吸系统症状,并被诊断为广泛的骨骼和肺转移。在接受了以类固醇为基础的化疗和雄激素剥夺治疗后,成像显示摄取量下降,临床症状改善,表明治疗有反应。前列腺癌 PLC 异常罕见,仅有有限的病例记录。本报告强调了99m锝-前列腺特异性膜抗原和99m锝-成纤维细胞活化蛋白抑制剂扫描在鉴别PLC和监测治疗反应方面的诊断价值,为这一棘手病症的治疗提供了见解。
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来源期刊
Clinical Nuclear Medicine
Clinical Nuclear Medicine 医学-核医学
CiteScore
2.90
自引率
31.10%
发文量
1113
审稿时长
2 months
期刊介绍: Clinical Nuclear Medicine is a comprehensive and current resource for professionals in the field of nuclear medicine. It caters to both generalists and specialists, offering valuable insights on how to effectively apply nuclear medicine techniques in various clinical scenarios. With a focus on timely dissemination of information, this journal covers the latest developments that impact all aspects of the specialty. Geared towards practitioners, Clinical Nuclear Medicine is the ultimate practice-oriented publication in the field of nuclear imaging. Its informative articles are complemented by numerous illustrations that demonstrate how physicians can seamlessly integrate the knowledge gained into their everyday practice.
期刊最新文献
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