Incidental Diagnosis of Metastatic Breast Cancer in a Man With 99m Tc-PSMA SPECT/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:
01 Apr 2023
Historique:
pubmed: 3 2 2023
medline: 4 3 2023
entrez: 2 2 2023
Statut: ppublish

Résumé

Breast cancer in men is a rare and unsuspected malignancy. A 48-year-old man begins with disabling low back pain. The CT scan reported a compression fracture in L2 and diffuse skeletal lesions suggestive of metastatic disease. The serum prostate-specific antigen was 6.2 ng/mL. He was referred for SPECT/CT with 99m Tc-EDDA/HYNIC-inhibitor prostate-specific membrane antigen due to clinical suspicion of prostate cancer. SPECT/CT with 99m Tc-EDDA/HYNIC-inhibitor prostate-specific membrane antigen showed a primary lesion in the left breast and multiple bone lesions. Biopsy confirmed infiltrating ductal carcinoma with positive hormone receptors and indeterminate HER2 (human epidermal growth factor receptor 2).

Identifiants

pubmed: 36728144
doi: 10.1097/RLU.0000000000004549
pii: 00003072-202304000-00032
doi:

Substances chimiques

EDDA 5657-17-0
Technetium 7440-26-8

Types de publication

Case Reports Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

e163-e164

Informations de copyright

Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.

Déclaration de conflit d'intérêts

Conflicts of interest and sources of funding: none declared.

Références

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Unger C, Bronsert P, Michalski K, et al. Expression of prostate specific membrane antigen (PSMA) in breast cancer. Geburtshilfe Frauenheilkd . 2022;82:50–58.
Kasoha M, Unger C, Solomayer E-F, et al. Prostate-specific membrane antigen (PSMA) expression in breast cancer and its metastases. Clin Exp Metastasis . 2017;34:479–490.
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Tolkach Y, Gevensleben H, Bundschuh R, et al. Prostate-specific membrane antigen in breast cancer: a comprehensive evaluation of expression and a case report of radionuclide therapy. Breast Cancer Res Treat . 2018;169:447–455.
Medina-Ornelas S, García-Perez F, Estrada-Lobato E, et al. 68 Ga-PSMA PET/CT in the evaluation of locally advanced and metastatic breast cancer, a single center experience. Am J Nucl Med Mol Imaging . 2020;10:135–142.
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Kumar R, Mittal BR, Bhattacharya A, et al. Synchronous detection of male breast cancer and prostatic cancer in a patient with suspected prostatic carcinoma on 68 Ga-PSMA PET/CT imaging. Clin Nucl Med . 2018;43:431–432.
Polverari G, Ceci F, Calderoni L, et al. Male breast cancer detected by 68 Ga-PSMA-11 PET/CT in a patient with prostate cancer with pelvic lymph node metastasis. Clin Genitourin Cancer . 2019;17:154–156.
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Auteurs

César D Zárate-García (CD)

From the Department of Nuclear Medicine, Hospital de Especialidades de Centro Médico Nacional Siglo XXI, IMSS, Mexico City, Mexico.

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Classifications MeSH