From the Departments of Nuclear Medicine & PET-Centre.
Radiology, Aarhus University Hospital, Denmark.
Clin Nucl Med. 2019 Nov;44(11):916-919. doi: 10.1097/RLU.0000000000002752.
In a patient with recently diagnosed intermediate-risk prostate cancer, Ga-prostate-specific-membrane-antigen (PSMA) PET/CT for primary staging discovered increased Ga-PSMA uptake in spondylodiscitis in the thoracic spine. The bacteria Escherichia coli was found both in blood cultures and bone biopsies from the thoracic lesion. This case presents spondylodiscitis as a potential benign pitfall to be aware of when interpreting PSMA PET/CT in prostate cancer patients.
在一位近期诊断为中危前列腺癌的患者中,Ga-前列腺特异性膜抗原(PSMA)PET/CT 用于原发分期时,发现胸椎的脊椎炎中有 Ga-PSMA 摄取增加。血液培养和胸椎病变的骨活检均发现细菌大肠埃希菌。本病例提示脊椎炎是在解读前列腺癌患者 PSMA PET/CT 时需要注意的一种潜在良性陷阱。