Superscan-Like Pattern on 18F-Choline PET/CT in a Patient With Essential Thrombocythemia

Clin Nucl Med. 2023 Mar 1;48(3):e131-e132. doi: 10.1097/RLU.0000000000004474. Epub 2022 Nov 22.

Abstract

Few clinical and preclinical articles reported the potential usefulness of 18F-choline PET/CT in several hematological proliferative diseases. We report and incidental finding of a superscan-like pattern in a patient affected by essential thrombocythemia (ET), performing 18F-choline PET/CT for a biochemical recurrence of prostate cancer. The mild elevation of PSA values and the negativity of subsequent 68Ga-PSMA-11 PET/CT allowed to correlate the diffuse skeletal uptake detected on 18F-choline PET/CT to the underlying hematologic disease, rather than to a prostate cancer relapse.

MeSH terms

  • Choline
  • Humans
  • Male
  • Neoplasm Recurrence, Local
  • Positron Emission Tomography Computed Tomography
  • Positron-Emission Tomography
  • Prostate-Specific Antigen
  • Prostatic Neoplasms* / diagnostic imaging
  • Thrombocythemia, Essential* / diagnostic imaging
  • Tomography, X-Ray Computed

Substances

  • fluoromethylcholine
  • Choline
  • Prostate-Specific Antigen
  • fluorocholine