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KMID : 1141320180330030391
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Kosin Medical Journal
2018 Volume.33 No. 3 p.391 ~ p.395
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Case Report of Prostate Cancer Patient with Only Lymph Node Involvement on F-18 FDG PET/CT
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Jung Hyun-Jin
Kang Sung-Min
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Abstract
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We report a case of a patient with locally advanced prostate cancer who had only lymph node involvement without bone metastasis on F-18 FDG PET/CT. A 62-year-old Korean male was admitted to our hospital due to dysuria. His PSA level on admission was 79.35 ng/mL. A transrectal ultrasound-guided prostate biopsy confirmed prostate cancer and his Gleason score was 10 (5+5). F-18 FDG PET/CT demonstrated a hypermetabolic mass lesion with SUVmax 7.0 in the prostate and hypermetabolism with SUVmax 4.7 of the abdominal and pelvic lymph nodes. Tc-99m HDP bone scan showed no significant bone metastasis. The patient underwent hormonal therapy for 9 months. Follow-up F-18 FDG PET/CT showed significantly reduced size and FDG uptake in the prostate and abdominal and pelvic lymph nodes. In this case, treatment monitoring with F-18 FDG PET/CT showed decreased mass size and FDG uptake in the prostate and abdominal and pelvic lymph nodes.
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KEYWORD
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F-18 FDG PET/CT, Only lymph node involvement, Prostate cancer
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