Extremely Rare Prostate Metastasis From Rectal Carcinoma Detected on ⁶⁸Ga-FAPI PET/CT.
Parth Bambhroliya, T Kishan Subudhi, Srijani Mandal et al.
✦ AI-curated · Sources linked
Case in brief
A 52-year-old man with a history of rectal adenocarcinoma presented with lower urinary tract symptoms and rising serum creatinine levels. Despite normal PSA levels and no local recurrence on colonoscopy, elevated CEA levels prompted further investigation. Whole-body ⁶⁸Ga-FAPI PET/CT showed diffuse tracer uptake in the prostate, and a biopsy confirmed metastatic adenocarcinoma from the rectal primary.
Diagnostic / clinical pearl
This case highlights the potential for prostate metastasis from colorectal adenocarcinoma, which is typically due to local extension rather than distant spread.
Why it matters
The use of ⁶⁸Ga-FAPI PET/CT may enhance the detection of unusual metastatic patterns in patients with a history of colorectal cancer.