18F-Fluciclovine-Avid Pulmonary Hamartoma.

Sacha C Baldeosingh, Steven P Rowe, Stephen C Greco, Channing J Paller, Reema Goel

Clinical nuclear medicine 2021 Nov 01

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A 73-year-old man with history of grade group 1/Gleason 3 + 3 = 6 prostate adenocarcinoma status post prostatectomy had subsequent biochemical recurrence with serum prostate-specific antigen level of 2.4 ng/mL. He underwent an 18F-fluciclovine PET/CT scan that demonstrated a left prostate bed recurrence and an incidental 18F-fluciclovine-avid smooth-edged solitary lung nodule with internal fat attenuation. Such uptake of 18F-fluciclovine in a lung hamartoma could be mistaken for prostate cancer metastasis. Given the increasing use of advanced imaging for prostate cancer, there is need for the imaging specialist to know about pitfalls and how to interpret them. Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.

Citation

Sacha C Baldeosingh, Steven P Rowe, Stephen C Greco, Channing J Paller, Reema Goel. 18F-Fluciclovine-Avid Pulmonary Hamartoma. Clinical nuclear medicine. 2021 Nov 01;46(11):919-921