Beyond FDG: Serial 68 Ga-FAPI PET/CT for Staging and Treatment Response Assessment in Metastatic Pleomorphic Lobular Breast Cancer.
Khulood Al Riyami, Anjali Jain, Asiya Al Busaidi et al.
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Case in brief
A patient with recurrent metastatic pleomorphic lobular breast cancer underwent baseline 68 Ga-FAPI PET/CT, which revealed extensive regional and distant disease that was underestimated by 18 F-FDG PET/CT. Following the initiation of olaparib, serial FAPI PET/CT scans showed a marked response, indicating near complete resolution of the disease.
Diagnostic / clinical pearl
68 Ga-FAPI PET/CT may provide superior sensitivity for detecting metastatic disease in lobular breast cancer compared to traditional 18 F-FDG PET/CT.
Why it matters
This case underscores the potential of 68 Ga-FAPI PET/CT in assessing treatment response, which could influence management strategies for patients with lobular breast cancer.