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隐匿性:一例前列腺癌广泛骨转移仅局限于一侧下肢的病例

Below-the-Radar: A Case of Extensive Osseous Metastasis of Prostate Cancer Confined Exclusively to One Lower Limb.

作者信息

Heilinger Jan, Ufton Dominic, Drebber Uta, Schmidt Matthias, Drzezga Alexander

机构信息

Department of Nuclear Medicine, Faculty of Medicine and University Hospital Cologne, University of Cologne.

Institute of Pathology, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany.

出版信息

Clin Nucl Med. 2025 May 1;50(5):421-422. doi: 10.1097/RLU.0000000000005756. Epub 2025 Apr 7.

Abstract

Osseous metastases are a common finding in prostate cancer, usually affecting the central skeleton. Metastases in the peripheral skeleton are less frequent but can occur as isolated findings as well. Therefore, imaging protocols limited to the trunk may miss such lesions and extended range (total-body) PSMA-PET/CT may be helpful for comprehensive evaluation, especially when peripheral metastases are suspected, for example, due to clinical symptoms.

摘要

骨转移是前列腺癌的常见表现,通常累及中轴骨骼。外周骨骼转移较少见,但也可单独出现。因此,仅局限于躯干的成像方案可能会遗漏此类病变,而扩展范围(全身)的PSMA-PET/CT可能有助于全面评估,尤其是在怀疑存在外周转移时,例如由于临床症状。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7fd8/11967916/c5fa29a2f6d1/rlu-50-421-g001.jpg

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