Prostate cancer - local and nodal recurrence (F-18 PSMA PET-CT)

Case contributed by David Little
Diagnosis almost certain

Presentation

Biochemical PSA recurrence following previous radical prostatectomy.

Patient Data

Age: 60 years
Gender: Male

F-18 PSMA-1007 PET-CT

Nuclear medicine

There is focal PSMA uptake in the prostate bed in keeping with local recurrence. There is a non-enlarged avid left internal iliac node which is also likely to be involved. Focal uptake in the left femoral neck associated with some sclerosis is suspicious for metastatic disease. 

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