Concomitant Prostate Carcinoma and Follicular Lymphoma: "Flip-Flop" Appearances on PSMA and FDG PET/CT Scans

Clin Nucl Med. 2019 Oct;44(10):797-798. doi: 10.1097/RLU.0000000000002727.

Abstract

We report a case of a 75-year-old man with concomitant metastatic prostate cancer and progressive follicular lymphoma and the utility of molecular imaging in differentiating these 2 conditions. F-FDG PET/CT can offer accurate staging in many cancers, although its role in prostate cancer is limited. The role of F-DCFPyL (PSMA) PET/CT in prostate cancer is evolving and has been demonstrated to have a higher sensitivity than conventional bone scan and CT scan. Together, FDG and PSMA PET/CT studies may offer a noninvasive approach to individually characterize concomitant malignancies, aiding optimization of management and follow-up.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Fluorodeoxyglucose F18*
  • Humans
  • Lymphoma, Follicular / diagnostic imaging*
  • Lymphoma, Follicular / pathology
  • Lysine / analogs & derivatives*
  • Male
  • Neoplasm Metastasis
  • Neoplasms, Second Primary / diagnostic imaging*
  • Neoplasms, Second Primary / pathology
  • Positron Emission Tomography Computed Tomography*
  • Prostatic Neoplasms / diagnostic imaging*
  • Prostatic Neoplasms / pathology
  • Urea / analogs & derivatives*

Substances

  • 2-(3-(1-carboxy-5-((6-fluoropyridine-3-carbonyl)amino)pentyl)ureido)pentanedioic acid
  • Fluorodeoxyglucose F18
  • Urea
  • Lysine