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Sacral Insufficiency Fracture Mimicking Metastatic Prostate Cancer on 18F-PSMA-1007 PET/CT

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机构: [1]Department of Radiology, Tongren Hospital, Shanghai Jiao Tong University School of Medicine. [2]Departments of Nuclear Medicine,The First Affiliated Hospital of Naval Medical University, Shanghai, China. [3]Departments of Orthopedics,The First Affiliated Hospital of Naval Medical University, Shanghai, China.
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关键词: sacral insufficiency fracture prostate cancer PSMA PET/CT

摘要:
Accurate diagnosis of sacral insufficiency fractures in oncology patients may be challenging. We describe 18F-PSMA-1007 PET/CT findings of sacral insufficiency fracture in a patient with a history of prostate cancer and pelvic radiotherapy. The insufficiency fracture in the left sacral ala showed no oblivious structural changes and diffuse heterogeneous activity with SUVmax of 7.7 on 18F-PSMA-1007 PET/CT mimicking metastatic prostate cancer. A follow-up 99mTc-MDP SPECT/CT showed progression of the insufficiency fracture from the left sacral ala to the right sacral ala. A low level of serum prostate-specific antigen may be helpful for the diagnosis.Copyright © 2025 Wolters Kluwer Health, Inc. All rights reserved.

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出版当年[2025]版:
大类 | 3 区 医学
小类 | 3 区 核医学
最新[2025]版:
大类 | 3 区 医学
小类 | 3 区 核医学
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第一作者机构: [1]Department of Radiology, Tongren Hospital, Shanghai Jiao Tong University School of Medicine.
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