A challenging diagnosis of prostate cancer seeding in the perineal needle-tract after transperineal biopsy: is PET-CT the imaging of choice?

Autor: Claudia Fede Spicchiale, Federico De Leonardis, Luca Orecchia, Stefano Germani, Anastasios D. Asimakopoulos, Roberto Miano
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Urology Case Reports, Vol 57, Iss , Pp 102852- (2024)
Druh dokumentu: article
ISSN: 2214-4420
88537749
DOI: 10.1016/j.eucr.2024.102852
Popis: Perineal seeding is an extremely rare complication after prostate biopsy. We found a perineal localization of prostatic adenocarcinoma 5 years after the transperineal biopsy in a patient with metastatic castration resistant prostate cancer. The tumor was identified by a18F-Fluorocholin positron emission tomography-computed tomography (18F-FCH PET-CT) performed after a sudden rise of PSA levels during androgen deprivation therapy and after a negative CT scan. This case report underscores the challenge one may encounter in detecting perineal prostate cancer metastasis after a biopsy when using traditional imaging with CT scan alone or MRI, and the added diagnostic value of PET-CT imaging.
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