1. 18F-Choline PET/CT-Positive Lytic Bone Lesions in Prostate Cancer and Accidental Myeloma Detection
- Author
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Agostino Cortelezzi, Eva Orunesu, Virgilio Longari, Massimo Castellani, and Luigia Florimonte
- Subjects
Male ,Pathology ,medicine.medical_specialty ,Bone Neoplasms ,Lytic Bone Lesion ,Choline ,030218 nuclear medicine & medical imaging ,Metastasis ,03 medical and health sciences ,Prostate cancer ,0302 clinical medicine ,Antigen ,Positron Emission Tomography Computed Tomography ,Biopsy ,Humans ,Medicine ,Radiology, Nuclear Medicine and imaging ,Aged ,Incidental Findings ,PET-CT ,medicine.diagnostic_test ,business.industry ,Carcinoma ,Prostatic Neoplasms ,General Medicine ,medicine.disease ,Lytic cycle ,030220 oncology & carcinogenesis ,Monoclonal ,Radiopharmaceuticals ,Multiple Myeloma ,business - Abstract
F-choline PET/CT was performed for suspected prostate cancer relapse in a 67-year-old man with hip pain and a rapid rise in prostate-specific antigen values (1.1 ng/mL). PET imaging showed an area of increased F-choline bone uptake in the right ischium. Coregistered CT images showed a lytic bone lesion. The infrequent CT appearance of a possible prostate carcinoma metastasis led to additional laboratory testing that showed a monoclonal γ-peak and to subsequent biopsy, which revealed a solitary plasmocytoma.
- Published
- 2016
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