Prostate cancer staging (F-18 PSMA PET-CT)

Case contributed by David Little , 4 Oct 2020
Diagnosis almost certain
Changed by Mostafa Elfeky, 24 Sep 2023
Disclosures - updated 14 May 2023: Nothing to disclose

Updates to Case Attributes

Title was changed:
Prostate cancer staging with F(F-18 PSMA PET-CT)
Age changed from 60 to 60 years.
Presentation was changed:
Prostate cancer high risk patient. Staging prior to radical treatment.
Body was changed:

F-18 PSMA is useful in the staging of high risk prostate cancer patients being considered for radical therapy. 

F-18 PSMA has been shown to have a higher diagnostic accuracy for primary staging compared with CT and bone scan (92% vs 65% respectively), a greater treatment impact (28% vs 15% respectively) and fewer uncertain results (7% vs 23% respectively).1.

  • -<p>F-18 PSMA is useful in the staging of high risk prostate cancer patients being considered for radical therapy. </p><p>F-18 PSMA has been shown to have a higher diagnostic accuracy for primary staging compared with CT and bone scan (92% vs 65% respectively), a greater treatment impact (28% vs 15% respectively) and fewer uncertain results (7% vs 23% respectively).<sup>1</sup></p>
  • +<p>F-18 PSMA is useful in the staging of high risk prostate cancer patients being considered for radical therapy. </p><p>F-18 PSMA has been shown to have a higher diagnostic accuracy for primary staging compared with CT and bone scan (92% vs 65% respectively), a greater treatment impact (28% vs 15% respectively) and fewer uncertain results (7% vs 23% respectively) <sup>1</sup>.</p>

References changed:

  • 2. Foley RW, Redman SL, Graham RN, Loughborough WW, Little D. Fluorine-18 labelled prostate-specific membrane antigen (PSMA)-1007 positron-emission tomography-computed tomography: normal patterns, pearls, and pitfalls. (2020) Clinical radiology. 75 (12): 903-913. <a href="https://doi.org/10.1016/j.crad.2020.06.031">doi:10.1016/j.crad.2020.06.031</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/32782128">Pubmed</a> <span class="ref_v4"></span>
  • Foley RW, Redman SL, Graham RN, Loughborough WW, Little D. Fluorine-18 labelled prostate-specific membrane antigen (PSMA)-1007 positron-emission tomography-computed tomography: normal patterns, pearls, and pitfalls. (2020) Clinical radiology. 75 (12): 903-913. <a href="https://doi.org/10.1016/j.crad.2020.06.031">doi:10.1016/j.crad.2020.06.031</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/32782128">Pubmed</a> <span class="ref_v4"></span>

Systems changed:

  • Oncology

Updates to Study Attributes

Caption was added:
F-18 PSMA PET-CT
Findings was changed:

There is marked focal PSMA uptake in the right side of the prostate corresponding to the primary tumour. There is a 10mm10 mm mildly PSMA avid right pelvic sidewall lymph node which is likely involved. No nodal or metastatic disease elsewhere.

Updates to Link Attributes

Title was removed:
Prostate cancer staging with F-18 PSMA PET-CT
Type was removed.
Visible changed from true to false.

Updates to Link Attributes

Title was added:
Slug was set to prostate-cancer-staging-f-18-psma-pet-ct.
Type was set to .
Visible was set to false.
Content was set to 82766.
Content Type was set to Case.

Updates to Primarylink Attributes

Title was added:
Prostate cancer staging (F-18 PSMA PET-CT)
Slug was set to prostate-cancer-staging-f-18-psma-pet-ct-1.
Type was set to PrimaryLink.
Visible was set to true.
Content was set to 82766.
Content Type was set to Case.

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