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Detection of Adenocarcinoma of the Colon on 18 F-Fluciclovine PET/CT
Charisma Desai1, Angela Clark, Devaki Shilpa Surasi
1From the University of Texas at MD Anderson Cancer Center, Houston, TX.
Abstract:
An 85-year-old man with prostate cancer and de novo bone metastases was treated with hormonal therapy with resolution of bone lesions, improved primary disease, and improved serum tumor markers. Although on hormonal therapy, biochemical recurrence prompted performance of 18 F-fluciclovine PET/CT. Fluciclovine PET/CT revealed primary prostate cancer progression with incidental note of avid foci in the colon for which colonoscopy was recommended. Colonoscopy with biopsy was performed with pathology revealing primary colon adenocarcinoma. Before reinitiation of prostate cancer therapy, segmental colon resection was performed with pathology positive for additional sites of colon cancer.
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