Solitary Penile Metastasis of Prostate Cancer on F-Fluciclovine PET/CT Imaging in a Patient with PSA of 1 ng/mL

Ali Salavati, Allyssa N. Schik, Yasemin Koksel, Mehmet Gencturk, Jerry W. Froelich

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

An 85-year-old asymptomatic man with suspected biochemical recurrence of prostate cancer underwent an F-fluciclovine PET/CT scan, which revealed a solitary suspicious tracer uptake in the dorsal right corporal body of the proximal pendulous penis. The patient underwent ultrasound-guided fine-needle aspiration of the penile lesion, which revealed metastatic prostate cancer. The patient had definitive external beam radiation therapy 3 years before the examination. At the time of scan, the prostatic-specific antigen (PSA) was only 1.0 ng/mL, although the PSA doubling time was 2.6 months. It is unusual to detect a solitary penile metastasis in a patient with a low level of PSA.

Original languageEnglish (US)
Pages (from-to)389-391
Number of pages3
JournalClinical nuclear medicine
Volume45
Issue number5
DOIs
StatePublished - May 1 2020

Bibliographical note

Funding Information:
Received for publication October 7, 2019; revision accepted January 6, 2020. From the Department of Radiology, University of Minnesota, Minneapolis, MN. Conflicts of interest and sources of funding: Ali Salavati was supported by the RSNA Research & Education Foundation, through grant number RR1963. The content is solely the responsibility of the authors and does not necessarily represent the official views of the RSNA R&E Foundation. The rest of the authors declare no potential conflicts of interest. Correspondence to: Ali Salavati, MD, MPH, 420 Delaware St SE, MMC 292, B-243 Mayo, Minneapolis, MN 55455. E-mail: Salav006@umn.edu. Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved. ISSN: 0363-9762/20/4505–0389 DOI: 10.1097/RLU.0000000000002987

Keywords

  • F-fluciclovine
  • definitive external beam radiation therapy
  • penile metastasis
  • prostate cancer
  • prostatic-specific antigen
  • prostatic-specific antigen doubling time

PubMed: MeSH publication types

  • Case Reports
  • Journal Article

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