Prostate-Specific Membrane Antigen Uptake in a Peripheral Nerve and Respective Ganglia on 68Ga-Prostate-Specific Membrane Antigen-HBED-CC PET/CT.


Journal

Clinical nuclear medicine
ISSN: 1536-0229
Titre abrégé: Clin Nucl Med
Pays: United States
ID NLM: 7611109

Informations de publication

Date de publication:
Jan 2021
Historique:
pubmed: 20 11 2020
medline: 29 12 2020
entrez: 19 11 2020
Statut: ppublish

Résumé

A 74-year-old man with a history of prostate cancer with proven osseous metastatic disease underwent Ga-prostate-specific membrane antigen (PSMA) PET/CT under antiandrogen therapy. The scan revealed a long segment of increased PSMA tracer uptake within the right sciatic nerve, which appeared edematous and swollen, and the respective ganglia. Clinically, the patient suffered from pain and paresis in the right leg. As infiltration of a long segment of a single nerve seems unlikely, primarily neuronal disease such as neuritis (induced by metastases or radiotherapy) was considered. The observed uptake of PSMA-targeting PET tracers may then represent a peripheral nerve disorder.

Identifiants

pubmed: 33208621
doi: 10.1097/RLU.0000000000003401
pii: 00003072-202101000-00020
doi:

Substances chimiques

N,N'-bis(2-hydroxy-5-(ethylene-beta-carboxy)benzyl)ethylenediamine N,N'-diacetic acid 143557-99-7
Edetic Acid 9G34HU7RV0

Types de publication

Case Reports Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

69-70

Références

Gouveia PB, Violante LCS, Teixeira RJV, et al. 68 Ga-PSMA uptake in prostate cancer sciatic nerve metastasis. Clin Nucl Med . 2019;44:e301–e302.
Rischpler C, Beck TI, Okamoto S, et al. 68 Ga-PSMA-HBED-CC uptake in cervical, celiac and sacral ganglia as an important pitfall in prostate cancer PET imaging. J Nucl Med . 2018;59:1406–1411.
Krohn T, Verburg FA, Pufe T, et al. [(68)Ga]PSMA-HBED uptake mimicking lymph node metastasis in coeliac ganglia: an important pitfall in clinical practice. Eur J Nucl Med Mol Imaging . 2015;42:210–214.
Vamadevan S, Le K, Shen L, et al. Incidental prostate-specific membrane antigen uptake in a peripheral nerve sheath tumor. Clin Nucl Med . 2017;42:560–562.
Morgantetti G, Ng KL, Samaratunga H, et al. Prostate specific membrane antigen (PSMA) expression in vena cava tumour thrombi of clear cell renal cell carcinoma suggests a role for PSMA-driven tumour neoangiogenesis. Transl Androl Urol . 2019;8:S147–S155.
Endepols H, Mottaghy FM, Simsekyilmaz S, et al. In vivo molecular imaging of glutamate carboxypeptidase II expression in re-endothelialisation after percutaneous balloon denudation in a rat model. Sci Rep . 2018;8:7411.
Conway RE, Petrovic N, Li Z, et al. Prostate-specific membrane antigen regulates angiogenesis by modulating integrin signal transduction. Mol Cell Biol . 2006;26:5310–5324.
Gordon IO, Tretiakova MS, Noffsinger AE, et al. Prostate-specific membrane antigen expression in regeneration and repair. Mod Pathol . 2008;21:1421–1427.

Auteurs

Jasmin Mettler (J)

From the Department for Nuclear Medicine, Faculty of Medicine and University Hospital of Cologne, Center for Integrated, Oncology Aachen Bonn Cologne Duesseldorf.

Alexander Drzezga (A)

From the Department for Nuclear Medicine, Faculty of Medicine and University Hospital of Cologne, Center for Integrated, Oncology Aachen Bonn Cologne Duesseldorf.

Markus Dietlein (M)

From the Department for Nuclear Medicine, Faculty of Medicine and University Hospital of Cologne, Center for Integrated, Oncology Aachen Bonn Cologne Duesseldorf.

Tim Hucho (T)

Department of Anesthesiology and Intensive Care Medicine, Faculty of Medicine and University Hospital of Cologne, University of Cologne, Cologne, Germany.

Carsten Kobe (C)

From the Department for Nuclear Medicine, Faculty of Medicine and University Hospital of Cologne, Center for Integrated, Oncology Aachen Bonn Cologne Duesseldorf.

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Classifications MeSH