Hepatic Metastases From Prostatic Adenocarcinoma Without Elevated 18F-Choline Activity

Clin Nucl Med. 2018 Oct;43(10):780-781. doi: 10.1097/RLU.0000000000002254.

Abstract

We report the case of a 69-year-old man referred for F-fluorocholine (FCH) PET/CT for a biochemical recurrence of prostate cancer. FCH PET/CT demonstrated 2 hypodense hepatic lesions with no uptake but progressing in size compared with a previous assessment. MRI showed a suspicious peripheral contrast enhancement, raising the question of a liver metastasis. Histopathologic examination concluded to a prostate adenocarcinoma metastasis. This case highlights an unusual pitfall in FCH PET/CT: the lack of uptake in prostatic liver metastasis is presumably due to the partial volume effect induced by the necrotic center and the high uptake of the liver.

Publication types

  • Case Reports

MeSH terms

  • Adenocarcinoma / pathology*
  • Aged
  • Biological Transport
  • Choline / analogs & derivatives*
  • Choline / metabolism
  • Humans
  • Liver Neoplasms / diagnostic imaging*
  • Liver Neoplasms / metabolism
  • Liver Neoplasms / secondary*
  • Male
  • Positron Emission Tomography Computed Tomography
  • Prostatic Neoplasms / pathology*

Substances

  • fluoromethylcholine
  • Choline