177 Lu-DOTATATE Therapy in a Case of Castrate-Resistant Prostate Cancer With Neuroendocrine Differentiation

Clin Nucl Med. 2023 Aug 1;48(8):e371-e373. doi: 10.1097/RLU.0000000000004735. Epub 2023 Jun 6.

Abstract

An 84-year-old man with prostate cancer with neuroendocrine differentiation underwent PET/CT for staging. 68 Ga-prostate-specific membrane antigen PET/CT did not show significant abnormal tracer accumulation, whereas 18 F-OC ( 18 F-AlF-NOTA-octreotide) PET/CT showed elevated tracer uptake at multiple sites throughout the body. Therefore, the patient opted to receive 1 cycle of 177 Lu-DOTATATE peptide receptor radionuclide therapy with a dose of 200 mCi. Encouragingly, radiographic tumor remission and improvement of clinical symptoms were observed after only 1 cycle of treatment.

Publication types

  • Case Reports

MeSH terms

  • Aged, 80 and over
  • Humans
  • Male
  • Neuroendocrine Tumors* / diagnostic imaging
  • Neuroendocrine Tumors* / radiotherapy
  • Octreotide / therapeutic use
  • Organometallic Compounds* / therapeutic use
  • Positron Emission Tomography Computed Tomography
  • Positron-Emission Tomography
  • Prostatic Neoplasms* / diagnostic imaging
  • Prostatic Neoplasms* / drug therapy
  • Prostatic Neoplasms* / radiotherapy

Substances

  • copper dotatate CU-64
  • Octreotide
  • Organometallic Compounds