Ogu Julliet, Jayasekera Migara, Villanueva-Meyer Javier, Bhargava Peeyush
Department of Radiology, University of Texas Medical Branch, Galveston, TX, 77555, USA.
Radiol Case Rep. 2023 Sep 26;18(12):4323-4326. doi: 10.1016/j.radcr.2023.09.015. eCollection 2023 Dec.
This report presents the imaging findings in a patient with advanced prostate cancer and bone metastases. A superscan pattern on the initial whole-body bone scan suggested extensive disease. The patient responded well to definitive treatment, exhibiting clinical improvement based on decreased PSA levels and CT findings in 6-month follow-up. However, serial follow-up bone scans showed normalization in about 18 months. This paper aims to discuss the limitations of bone scintigraphy in evaluating treatment responses in patients with prostate cancer.
本报告展示了一名晚期前列腺癌伴骨转移患者的影像学检查结果。初始全身骨扫描呈现的超级扫描模式提示疾病广泛。患者对确定性治疗反应良好,在6个月的随访中,基于前列腺特异性抗原(PSA)水平降低和CT检查结果显示出临床改善。然而,系列随访骨扫描显示大约18个月后结果恢复正常。本文旨在探讨骨闪烁扫描术在评估前列腺癌患者治疗反应方面的局限性。