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IMAGE OF THE MONTH Resection of a Solitary Pulmonary Metastasis from Prostatic Adenocarcinoma Misdiagnosed as a Bronchocele Usefulness of 18F-Choline and 18F-FDG PET/CT Jérémie Calais, MD,* David Lussato, MD,* Jean Menard, MD,† Eric De Kerviler, MD, PhD,‡ Pierre Mongiat-Artus, MD, PhD,** Yves Castier, MD, PhD,§ and Pascal Merlet, MD, PhD* n asymptomatic 67-year-old man with rising prostate spe- or even a lung surfactant accumulation into the bronchocele, Acific antigen (PSA) was referred to our center to perform as F-Choline could be metabolized as phosphatidylcholine 18 6 18 an F-Choline positron emission computed tomography (PET/ in mucus production. F-fluorodeoxyglucose (FDG) PET/CT CT) scan. He had a prostatic adenocarcinoma [Gleason score 8 scan was then performed to characterize the pulmonary lesion (4 + 4), stage T1cN0M0] treated 9 years ago by curative radia- whether glucose metabolism in that abnormality favored a benign tion therapy (RT; 74 Gy) and hormonal therapy for 6 months. or malignant process. It showed a homogeneous FDG uptake Initial PSA was 10.7 ng/ml. The PSA follow-up was between into the bronchocele and no other abnormal uptake in particular XXX 2.44 and 1.55 ng/ml. After 7 years, PSA raised at 4 ng/ml and in the prostatic, pelvic lymph node, or skeletal areas. (Fig. 3). a CT of thorax, abdomen,
Journal of Thoracic Oncology – Wolters Kluwer Health
Published: Dec 1, 2014
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