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DOTATATE Case: Prostatitis

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In this case, I'm presenting a ATE pet

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performed on an 82-year-old male who presented

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to, uh, identify the primary neuroendocrin tumor.

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He presented with back pain

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and had an MRI done, uh, that showed a sacral lesion

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that was biopsied

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and came back as well differentiated neuroendocrine tumor

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and therefore he underwent the ity to identify the primary

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and do a total staging.

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So as we can see, there's the sacral lesion

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that has very intense tracer uptake as well as, uh,

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uptake in the mesentary

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and in the small bowel confirming the primary

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and additionally a separate small bowel lesion.

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But what I want you to also note in this case is that

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he had diffuse tracer uptake in the prostate

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gland, not in the entire prostate gland.

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He, the left posterior aspect of the prostate

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had less uptake.

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Relatively speaking. This finding is common

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and this is seen on prostatitis.

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The one thing that you can recommend would be to

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ask for urinary symptoms as prostatitis

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usually comes with symptoms.

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They might want to correlate with PSA levels

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as prostatitis can also increase the PSA levels

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and essentially just, uh, do a clinical follow-up

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for resolution of symptoms.

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This patient also showed

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diffuse trace uptake in the majority of the prostate gland,

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with the exception of the left posterior prostate.

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And this is consistent with the pattern of prostatitis.

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This patient was later found to have a

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prostate adenocarcinoma precisely in the area

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where there was lack of the ate uptake.

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I.

Report

Faculty

Elisa Franquet Elia, MD

Assistant Professor of Radiology

UMass Chan Medical School

Tags

Response and assessment

PET/CT DOTATATE

PET

Other Systems

Oncologic Imaging

Nuclear Medicine

Neuroendocrine

Infectious

General Oncologic Imaging Concepts