A False-Positive Bone Oligometastatic Prostate Cancer in 18 F-Choline PET/CT : Be Aware of Chronic Vascular Pitfalls

Clin Nucl Med. 2023 Dec 1;48(12):1059-1061. doi: 10.1097/RLU.0000000000004883. Epub 2023 Sep 29.

Abstract

We report the case of a 71-year-old man undergoing initial assessment for a high-risk group prostate adenocarcinoma. His medical history includes gastric carcinoma treated with surgery and chemotherapy. 18 F-choline PET/CT was performed for initial staging and displayed several intense foci uptake of sternum and thoracic vertebrae, suggestive of bone metastasis. Because of a chronic right jugulosubclavian confluent thrombosis related to his implantable chamber, a control was performed 3 weeks later. It showed spontaneous disappearance of those uptakes, consistent with pitfalls related to the collateral circulation induced by the chronic right subclavian vein thrombosis, despite the chronic anticoagulation.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Choline
  • Humans
  • Male
  • Positron Emission Tomography Computed Tomography
  • Prostatic Neoplasms* / pathology
  • Radiopharmaceuticals
  • Thrombosis*

Substances

  • Choline
  • Radiopharmaceuticals