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Parathyroid Adenoma Mimicking a Malignant Lymph Node on 18F-Choline PET-CT

Van den Broeck, Bliede MD; De Maeseneer, Daan MD; De Gersem, Ruth MD; De Man, Kathia MD

doi: 10.1097/RLU.0000000000001550
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Prostate carcinoma is the most common cancer in men. After local therapy, disease recurs in many patients. A choline PET/CT is indicated in case of biochemical relapse of prostate carcinoma to determine the site of recurrence (local and/or distant) and to help select the next line of therapy. Choline PET-CT is also known to show an elevated uptake in hyperfunctioning parathyroid adenoma. This case report shows the difficulty to distinguish between both entities if they occur simultaneously in an oncologic patient.

From the *Department of Nuclear Medicine, University Hospital Ghent, Ghent; †Department of Oncology, AZ Sint-Lucas, Bruges; ‡Department of Uro-oncology, University Hospital Ghent, Ghent; and §Department of Nuclear Medicine, AZ Sint-Lucas, Bruges, Belgium.

Received for publication August 26, 2016; revision accepted December 11, 2016.

Conflicts of interest and sources of funding: none declared.

Correspondence to: Kathia De Man, MD, Department of Nuclear Medicine, University Hospital Ghent, de Pintelaan 185, 9000 Ghent, Belgium. E-mail:

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