AI Article Synopsis
- An 85-year-old man with a history of treated prostate cancer presented with rising PSA levels, indicating potential cancer recurrence.
- F-choline PET/CT scans revealed not only local recurrence in the prostate but also suspicious thyroid nodules and cervical lymph nodes, suggesting thyroid cancer.
- Subsequent biopsies confirmed that these thyroid nodules and lymph nodes were actually metastatic prostate cancer, leading to a change in disease staging and the initiation of chemotherapy.
Article Abstract
An 85-year-old man with a 2-year history of prostate cancer, treated with radiotherapy and hormonal therapy, presented increased prostatic-specific antigen levels. F-choline PET/CT showed focal prostatic uptake consistent with known local recurrence, increased uptake of 2 hypodense thyroid nodules and of 2 left cervical lymph nodes, suspected as thyroid cancer. Neck ultrasound confirmed the high risk of malignancy, and a guided biopsy (of a thyroid nodule and cervical lymph node) revealed cellular infiltrates thyroid transcription factor-1 (TTF-1) negative and prostatic-specific antigen positive, confirming intrathyroid and cervical lymph node metastases of prostate cancer. PET/CT changed the disease staging. Chemotherapy was initiated.
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| http://dx.doi.org/10.1097/RLU.0000000000002374 | DOI Listing |
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