11C-Choline and 18F-FDG PET/CT in the Detection of Occult Prostate Cancer in the Context of a Paraneoplastic Syndrome

Clin Nucl Med. 2015 Aug;40(8):695-6. doi: 10.1097/RLU.0000000000000826.

Abstract

In a 73-year-old man, an occult neoplasm was suspected after 2 consecutive deep venous thrombosis, the latter under anticoagulant therapy and previous axonopathy. After normal CT and MRI findings, a requested (18)F-FDG PET/CT showed a focal uptake in the prostate. Because FDG uptake in the prostate is infrequent, a (11)C-choline PET/CT was indicated revealing a focal uptake in the same location. No other abnormalities were detected in the rest of the body. A guided biopsy by ultrasonography was performed revealing a prostate carcinoma and inflammation in both prostatic lobes.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Carbon Radioisotopes
  • Choline*
  • Fluorodeoxyglucose F18*
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Multimodal Imaging
  • Neoplasms, Unknown Primary / diagnostic imaging*
  • Paraneoplastic Syndromes / diagnostic imaging*
  • Positron-Emission Tomography*
  • Prostatic Neoplasms / diagnostic imaging*
  • Radiopharmaceuticals
  • Tomography, X-Ray Computed

Substances

  • Carbon Radioisotopes
  • Radiopharmaceuticals
  • Fluorodeoxyglucose F18
  • Choline