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神经鞘瘤:在转移性前列腺癌评估中导致68Ga-PSMA PET/CT摄取假阳性的罕见原因。

Schwannoma: A rare cause of false-positive 68Ga-PSMA PET/CT uptake in the evaluation of metastatic prostate cancer.

作者信息

Gualberto Rodrigo J C, Nister Matheus, Castro Pedro R de, Arantes Paulo B O

机构信息

Hospital Felicio Rocho de Minas Gerais, 9530 contorno Avenue, Belo Horizonte 30110-934, Brazil.

Hospital Felício Rocho, 9530 Contorno Avenue, Belo Horizonte, 30110-934, Brazil.

出版信息

Urol Case Rep. 2021 Dec 7;41:101974. doi: 10.1016/j.eucr.2021.101974. eCollection 2022 Mar.

Abstract

PSMA expression occurs in epithelial cells in both normal and hyperplastic prostates. In adenocarcinoma, it is present in greater intensity, especially in the more aggressive ones. This made it possible to develop diagnostic tools with greater specificity for detecting prostate cancer metastases like the 68Ga-PSMA PET/CT. Several benign neoplasms with increased marker uptake have been described in the literature. Such false-positives are usually associated with soft tissue injuries, abnormal vascular proliferation, neurogenic injuries, thymomas and adenomas. In the present work we present a case report that exemplifies the above.

摘要

前列腺特异性膜抗原(PSMA)表达见于正常前列腺和增生前列腺的上皮细胞。在腺癌中,其表达强度更高,尤其是在侵袭性更强的腺癌中。这使得开发出对检测前列腺癌转移具有更高特异性的诊断工具成为可能,比如68Ga-PSMA PET/CT。文献中已描述了几种标记物摄取增加的良性肿瘤。此类假阳性通常与软组织损伤、异常血管增生、神经源性损伤、胸腺瘤和腺瘤有关。在本研究中,我们呈现了一个例证上述情况的病例报告。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a85c/8683589/5ad696b8a331/fx1.jpg

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