PSMA-expressing, fluciclovine-negative vertebral hemangioma

Abstract Background False-positive findings in Prostate-Specific Membrane Antigen Positron Emission Tomography-Computed Tomography (PSMA PET-CT) can complicate accurate staging of prostate cancer, especially in cases such as vertebral hemangiomas, a benign lesion of the spinal column. These ambiguit...

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Bibliographic Details
Main Authors: Azadeh Eslambolchi, Amin Haghighat Jahromi
Format: Article
Language:English
Published: SpringerOpen 2025-05-01
Series:EJNMMI Research
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Online Access:https://doi.org/10.1186/s13550-025-01248-0
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Summary:Abstract Background False-positive findings in Prostate-Specific Membrane Antigen Positron Emission Tomography-Computed Tomography (PSMA PET-CT) can complicate accurate staging of prostate cancer, especially in cases such as vertebral hemangiomas, a benign lesion of the spinal column. These ambiguities may result in unnecessary biopsies in patients with prostate cancer when PSMA PET findings are inconclusive. Case presentation We present the case of a 68-year-old male with prostate cancer who had a PSMA-expressing, fluciclovine-negative vertebral hemangioma. Conclusion This case highlights the role of fluciclovine PET-CT in distinguishing benign vertebral hemangiomas from prostate cancer metastases, improving diagnostic accuracy specifically in positive cases of PSMA PET-CT.
ISSN:2191-219X