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

doi:10.1097/RLU.0000000000002987

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

Radiology

Research output: Contribution to journal › Article

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 language	English (US)
Pages (from-to)	389-391
Number of pages	3
Journal	Clinical nuclear medicine
Volume	45
Issue number	5
DOIs	https://doi.org/10.1097/RLU.0000000000002987
State	Published - May 1 2020

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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10.1097/RLU.0000000000002987

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Salavati, A., Schik, A. N., Koksel, Y., Gencturk, M., & Froelich, J. W. (2020). Solitary Penile Metastasis of Prostate Cancer on F-Fluciclovine PET/CT Imaging in a Patient with PSA of 1 ng/mL. Clinical nuclear medicine, 45(5), 389-391. https://doi.org/10.1097/RLU.0000000000002987

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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. ",

keywords = "F-fluciclovine, definitive external beam radiation therapy, penile metastasis, prostate cancer, prostatic-specific antigen, prostatic-specific antigen doubling time",

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AU - Gencturk, Mehmet

AU - Froelich, Jerry W.

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