Récidive biologique de cancer de la prostate : intérêt de la TEP/TDM à la fluorocholine (18F) du corps entier |
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| Authors: | S Balogova V Nataf F Gutman V Huchet K Kerrou O Pascal F Montravers J-N Talbot |
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| Institution: | 1. Department of Oncological and Surgical Sciences, Urology Clinic, University of Padua, Padua, Italy;2. Department of Surgery, Oncology and Gastroenterology, University of Padua, Padua, Italy;3. Nuclear Medicine Unit, Veneto Institute of Oncology IOV – IRCCS, Padua, Italy;4. Oncology Unit 1, Veneto Institute of Oncology IOV – IRCCS, Italy |
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| Abstract: | Case reportA patient was referred to fluorocholine (18F) PET/CT to restage a biological recurrence of his prostate cancer. There was a doubt on local and lymph node recurrence on MRI.ResultPET/CT showed several pelvic foci evocative of local and lymph node recurrence, more extensive than the MRI anomaly without bone lesion; this recurrence was treated by hormone therapy. But FCH PET/CT also revealed a left cerebral focus. Cerebral MRI was therefore performed which confirmed an anomaly evocative of a grade II brain lesion.ConclusionThis observation illustrates the fact that, in case of prostate cancer, a whole-body imaging, including the skull, is useful, even when foci are detected in the pelvis. Several types of cancer take-up fluorocholine (18F): in case of a visceral distant focus in a patient with prostate cancer, the hypothesis of a second primary cancer should be considered. |
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