FDG Hepatic Superscan Due to Metastatic Infiltration of Prostate Cancer.

Clin Nucl Med

Pathology, Ankara Yildirim Beyazit University, Affiliated Ankara City Hospital, Bilkent Integrated Health Campus, Cankaya, Ankara, Turkey.

Published: June 2020

AI Article Synopsis

  • A 69-year-old man with prostate cancer was admitted to the hospital due to fever, abdominal swelling, and fatigue for two weeks.
  • Tests revealed acute liver failure, high levels of lactate dehydrogenase, and tumor markers, with a CT scan showing liver enlargement and multiple suspicious lesions indicating possible metastases.
  • A PET scan showed unusual hypermetabolism in the liver, and a biopsy confirmed that these lesions were metastatic prostate cancer.

Article Abstract

A 69-year-old man with prostate cancer presented to the hospital with 2 weeks' history of fever, abdominal distension, and fatigue. Laboratory findings showed signs of acute liver failure, and marked elevation of lactate dehydrogenase and tumor marker levels. Abdominal CT showed hepatomegaly with multiple hypodense lesions in both lobes, suggesting metastases. FDG PET/CT scan shows hypermetabolism unusually in the liver with significantly suppressed heart and brain activity, reminiscent of an FDG hepatic superscan. The hypermetabolic lesions confirmed with Tru-Cut needle biopsy of the liver as metastasis of prostate cancer.

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http://dx.doi.org/10.1097/RLU.0000000000003044DOI Listing

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