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68Ga Prostate-specific Membrane Antigen Uptake in Metastatic Medullary Thyroid Carcinoma

10.4274/mirt.galenos.2023.47855

  • Kübra Şahin
  • Ali Kibar
  • Cansu Güneren
  • Muhammet Sait Sağer
  • Kerim Sönmezoğlu

Received Date: 03.07.2023 Accepted Date: 25.09.2023 Mol Imaging Radionucl Ther 2024;33(1):54-56 PMID: 38390812

We present the case of a 58-year-old man with advanced medullary thyroid carcinoma who had a treatment history with different types of modalities. In the follow-up, the patient had rising calcitonin and CEA levels. Metastatic lymph nodes, liver, and bone metastases with varying degrees of uptake were detected on 18F-fluorodeoxyglucose (FDG) and 68Ga-DOTATATE positron emission tomography/computed tomography (PET/CT). 68Ga prostate-specific membrane antigen (PSMA) PET/CT was performed to explore whether the patient might have a chance for PSMA-targeted radionuclide therapy, and increased PSMA expression was noted in most of the metastatic lesions, even some of which have higher PSMA uptake than 18F-FDG and 68Ga-DOTATATE.

Keywords: Medullary thyroid carcinoma, prostate-specific membrane antigen, PSMA, 18F-FDG, 68Ga-DOTA, 68Ga-PSMA

Ethics

Informed Consent: Informed consent was obtained from the patient.

Authorship Contributions

Surgical and Medical Practices: K.Ş., M.S.S., Concept: M.S.S., Design: M.S.S., K.S., Data Collection or Processing: K.Ş., A.K., C.G., Analysis or Interpretation: K.Ş., M.S.S., K.S., Literature Search: K.Ş., A.K., C.G., Writing: K.Ş., K.S.

Conflict of Interest: No conflicts of interest were declared by the authors.

Financial Disclosure: The authors declare that this study has received no financial support.

Images

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