眼球外翻是转移性前列腺癌的初期症状

Q4 Medicine Radiology Case Reports Pub Date : 2024-09-23 DOI:10.1016/j.radcr.2024.09.060
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引用次数: 0

摘要

原发转移到眼眶的前列腺癌极为罕见。包括脑膜瘤在内的良性病变均有 PSMA 表达,并可通过基于 PSMA 的 PET 示踪剂显像。我们报告了一名 76 岁男性的 18F-PSMA-1007 PET/CT 检查结果,他患有进行性精神错乱和左眼长期失明。PET/CT 扫描显示,眼眶和颞部以及全身其他部位的 PSMA 摄取增加。左眼眶活组织病理检查显示为前列腺腺癌。该病例证实了转移性前列腺癌的临床和放射学表现多种多样,并强调了靶向活检的诊断意义。
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Exophthalmos as the initial presentation of metastatic prostate cancer
Primary metastatic prostate cancer to the orbit is exceedingly rare. Benign lesions, including meningioma, have demonstrated PSMA expression and can be visualized using PSMA-based PET tracers. We report the findings of 18F-PSMA-1007 PET/CT in a 76-year-old man with progressive confusion and long-standing blindness of the left eye. PET/CT scan revealed increased uptake of PSMA in the orbital and temporal region, and other sites throughout the body. Histopathological examination after biopsy of the left orbit showed adenocarcinoma of the prostate. This case substantiates the diverse clinical and radiological presentations of metastatic prostate cancer and underscores the diagnostic significance of targeted biopsy.
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来源期刊
Radiology Case Reports
Radiology Case Reports Medicine-Radiology, Nuclear Medicine and Imaging
CiteScore
1.10
自引率
0.00%
发文量
1074
审稿时长
30 days
期刊介绍: The content of this journal is exclusively case reports that feature diagnostic imaging. Categories in which case reports can be placed include the musculoskeletal system, spine, central nervous system, head and neck, cardiovascular, chest, gastrointestinal, genitourinary, multisystem, pediatric, emergency, women''s imaging, oncologic, normal variants, medical devices, foreign bodies, interventional radiology, nuclear medicine, molecular imaging, ultrasonography, imaging artifacts, forensic, anthropological, and medical-legal. Articles must be well-documented and include a review of the appropriate literature.
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