Multimodal Management of Advanced Metastatic Prostate Cancer: Excellent Response Following Resection of Brain Metastasis and 177Lu-PSMA Therapy.
Ghasemali Divband, Hamidreza Amini, Hamid Saeidi Saedi et al.
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Case in brief
A 68-year-old man with metastatic prostate adenocarcinoma underwent various treatments, including androgen-deprivation therapy and chemotherapy. After detecting a PSMA-avid brain lesion via 68Ga-PSMA PET/CT, he received brain radiotherapy. Following progression of the brain lesion and skeletal metastases, he had the lesion surgically resected and completed 4 cycles of 177Lu-PSMA-617, resulting in near-complete resolution of skeletal metastasis.
Diagnostic / clinical pearl
This case underscores the effectiveness of multimodal management, particularly the role of 177Lu-PSMA therapy, in treating brain metastases from prostate cancer.