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[68Ga]Ga-PSMA-11 PET/CT Detection of Perineural Invasion in Prostate Cancer.

Sep 2026 · Journal of Nuclear Medicine Technology · pp. jnmt.126.272789 · 0 citations · 6 references
Medicine

TL;DR

The case of a 78-y-old man with previously treated high-risk PCa who developed biochemical recurrence is presented, where [68Ga]Ga-PSMA-11 PET/CT demonstrated tumor spread along sacral nerve roots and the sciatic nerve, suggestive of perineural invasion.

Abstract

Prostate cancer (PCa) is the most common cancer and third leading cause of mortality in males. Prostate-specific membrane antigen (PSMA) is a transmembrane protein that is overexpressed by 100- to 1000-fold in PCa. [68Ga]Ga-PSMA-11 PET/CT plays an important role in the staging, restaging, and surveillance of PCa. We present the case of a 78-y-old man with previously treated high-risk PCa who developed biochemical recurrence, where [68Ga]Ga-PSMA-11 PET/CT demonstrated tumor spread along sacral nerve roots and the sciatic nerve, suggestive of perineural invasion.

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