From the Department of Nuclear Medicine, Marqués de Valdecilla University Hospital, University of Cantabria, Santander, Spain.
Clin Nucl Med. 2015 Aug;40(8):695-6. doi: 10.1097/RLU.0000000000000826.
In a 73-year-old man, an occult neoplasm was suspected after 2 consecutive deep venous thrombosis, the latter under anticoagulant therapy and previous axonopathy. After normal CT and MRI findings, a requested (18)F-FDG PET/CT showed a focal uptake in the prostate. Because FDG uptake in the prostate is infrequent, a (11)C-choline PET/CT was indicated revealing a focal uptake in the same location. No other abnormalities were detected in the rest of the body. A guided biopsy by ultrasonography was performed revealing a prostate carcinoma and inflammation in both prostatic lobes.
在一位 73 岁男性中，在连续两次深静脉血栓形成后，考虑存在隐匿性肿瘤，后者正在接受抗凝治疗，且之前存在轴索性神经病。在 CT 和 MRI 检查结果正常后，我们建议进行（18）F-FDG PET/CT 检查，结果显示前列腺局灶性摄取。由于前列腺中 FDG 摄取不常见，因此进行了（11）C-胆碱 PET/CT 检查，结果显示同一部位存在局灶性摄取。在身体的其他部位未发现其他异常。通过超声引导进行了活检，结果显示前列腺癌和两个前列腺叶的炎症。
