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Uncommon Penio-Scrotal Metastases of Prostate Cancer Detected on 68Ga PSMA PET/CT

Seniaray, Nikhil, DRM*; Verma, Ritu, DNB*; Khanna, Sudhir, MS, MCh; Belho, Ethel, DRM*; Malik, Dharmender, DNB*

doi: 10.1097/RLU.0000000000002527
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A 68-year-old man, a known case of carcinoma prostate (Gleason score 4 + 4), status post transurethral resection of prostate cancer and radiotherapy, on hormonal treatment with rising prostate-specific antigen 9.0 ng/mL and penile swelling underwent 68Ga-PSMA PET/CT scan for metastatic workup and restaging. The study revealed abnormal tracer uptake in the prostatic bed region, the pelvic and inguinal lymph nodes, and metastases to the glans of penis and scrotum. The penile and scrotal lesion was proved to be metastatic adenocarcinoma from prostate on fine-needle aspiration cytology.

From the *Department of Nuclear Medicine and PET/CT, Mahajan Imaging Centre, and

Urology, Sir Ganga Ram Hospital, New Delhi, India.

Received for publication December 18, 2018; revision accepted January 25, 2019.

Conflicts of interest and sources of funding: none declared.

Correspondence to: Nikhil Seniaray, DRM, Department of Nuclear Medicine and PET/CT, Mahajan Imaging Centre, Sir Ganga Ram Hospital, Room 25, Old Rajinder Nagar, New Delhi 110060, India. E-mail: nikhilmamc89@gmail.com.

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