Detected Huge Urinoma With 99mTc-PSMA Activity on Initial Prostate Cancer Staging.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 42710082.
- Also identified by DOI 10.1097/RLU.0000000000006454.
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Abstract
A 62-year-old man with newly diagnosed prostate adenocarcinoma underwent initial staging with 99mTc-PSMA and 99mTc-MDP whole-body scans. The bone scan revealed a small zone of tracer activity superior to the left kidney. Subsequent 99mTc-PSMA SPECT/CT revealed a fluid density collection in the left perinephric and pararenal space, extending from the left subdiaphragmatic area to the pelvic inlet. PSMA tracer activity was seen around the left kidney. Contrast-enhanced CT confirmed a perinephric fluid collection consistent with urinoma. This case underscores the importance of recognizing atypical patterns of 99mTc-PSMA uptake to improve diagnostic accuracy, avoid misinterpretation, and ensure appropriate patient management.
Medical subject headings
- Prostatic Neoplasms
- Urinoma
- Glutamate Carboxypeptidase II