99m Tc-PSMA Scintigraphy in Splenic Hemangioma.

Ghasemifard, Ahmad; Saber Tanha, Amin; Rabani, Faeze; Behforouz, Amir; Askari, Emran · Clin Nucl Med · 2026

case_report · Level V

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Abstract

A 67-year-old man was referred for initial staging of prostate adenocarcinoma (Gleason score 4+3, 7/12 cores positive). A 99m Tc-PSMA scintigraphy revealed localized uptake in the right prostate lobe (miTNM: T 2m N 0 M 0 , and PRIMARY score: 5) and increased uptake in a hypo-dense splenic lesion (PSMA-RADS-3C), which was subsequently confirmed as a hemangioma on further evaluations. This case underscores the potential for false-positive 99m Tc-PSMA uptake in splenic hemangiomas, highlighting the importance of considering this possibility in clinical practice.

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