From the Department of Nuclear Medicine and PET, Nepean Hospital Penrith.
Nepean Medical School, University Sydney, New South Wales, Australia.
Clin Nucl Med. 2019 Oct;44(10):821-823. doi: 10.1097/RLU.0000000000002662.
A 73-year-old man underwent a Ga-PSMA-HBED-CC 11 PET/CT for evaluation of rising PSA in the context of previous radical retropubic prostatectomy and salvage radiotherapy for prostatic adenocarcinoma. There was no definite PSMA avid recurrence in the prostatic bed. Intense PSMA avid uptake was seen in the anterior aspect of the spleen. Further characterization with multiplanar multisequence pre- and post-IV contrast MRI of the upper abdomen with arterial, portal venous, and delayed phase acquisitions revealed a lesion with appearances consistent with a splenic hemangioma.
一位 73 岁男性因前列腺腺癌行根治性耻骨后前列腺切除术和挽救性放疗后 PSA 升高，行 Ga-PSMA-HBED-CC 11 PET/CT 检查。前列腺床未见明确 PSMA 摄取增高的复发灶。脾脏前份可见明显 PSMA 摄取增高。进一步行上腹部多层面多序列 MRI 平扫+增强（动脉期、门静脉期和延迟期）检查，提示脾脏占位，符合脾血管瘤表现。
