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Metastasis of prostate cancer to renal pelvis is extremely rare. A 64-year-old man was hospitalized for increased prostate-specific antigen after radical prostatectomy. 68Ga-PSMA-11 PET/CT showed hydronephrosis caused by a mass in the left renal pelvis without significant uptake of prostate-specific membrane antigen tracer. The histopathology indicated metastatic prostate cancer with a Gleason score of 5 + 5 but negative for prostate-specific membrane antigen following nephroureterectomy. Although metastasis to renal pelvis is rare, the occurrence possibility could not be ignored when with hydronephrosis is found in prostate cancer patients. Copyright © 2019 Elsevier Inc. All rights reserved.

Citation

Feifei Zhang, Yao Fu, Mengxia Chen, Feng Wang, Xuefeng Qiu, Hongqian Guo. Renal Pelvis Metastasis From Prostatic Adenocarcinoma Missed by PSMA PET: A Case Report. Urology. 2020 Feb;136:e3-e4

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PMID: 31733274

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