Management of Patients with Recurrent and Metachronous Oligometastatic Prostate Cancer in the Era of PSMA PET

Prostate-specific membrane antigen (PSMA) positron emission tomography (PET) scans have higher sensitivity and specificity for detecting lymph nodes or metastatic disease relative to conventional imaging in prostate cancer staging. Since its FDA approval and incorporation into treatment guidelines,...

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Main Authors: Ali Sabbagh, Osama Mohamad, Katie E. Lichter, Thomas A. Hope
Format: Article
Language:English
Published: MDPI AG 2022-12-01
Series:Cancers
Subjects:
Online Access:https://www.mdpi.com/2072-6694/14/24/6194
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author Ali Sabbagh
Osama Mohamad
Katie E. Lichter
Thomas A. Hope
author_facet Ali Sabbagh
Osama Mohamad
Katie E. Lichter
Thomas A. Hope
author_sort Ali Sabbagh
collection DOAJ
description Prostate-specific membrane antigen (PSMA) positron emission tomography (PET) scans have higher sensitivity and specificity for detecting lymph nodes or metastatic disease relative to conventional imaging in prostate cancer staging. Since its FDA approval and incorporation into treatment guidelines, the use of PSMA PET has increased in patients undergoing initial staging, those with recurrence after initial definitive treatment, and patients with metastatic disease. Although the early detection of metastatic lesions is changing disease management, it is unclear whether this impact on management translates into clinical benefit. This review will summarize evidence pertaining to the change in patient management due to PSMA PET use and will discuss the implications of PSMA PET on treatment decisions in prostate cancer, particularly in the settings of biochemical recurrence and metachronous oligometastatic disease.
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spelling doaj.art-0f241315c2de4f39aeb99741f13469262023-11-24T13:47:47ZengMDPI AGCancers2072-66942022-12-011424619410.3390/cancers14246194Management of Patients with Recurrent and Metachronous Oligometastatic Prostate Cancer in the Era of PSMA PETAli Sabbagh0Osama Mohamad1Katie E. Lichter2Thomas A. Hope3Department of Radiation Oncology, University of California San Francisco, San Francisco, CA 94158, USADepartment of Radiation Oncology, University of California San Francisco, San Francisco, CA 94158, USADepartment of Radiation Oncology, University of California San Francisco, San Francisco, CA 94158, USADepartment of Radiology and Biomedical Imaging, University of California San Francisco, San Francisco, CA 94143, USAProstate-specific membrane antigen (PSMA) positron emission tomography (PET) scans have higher sensitivity and specificity for detecting lymph nodes or metastatic disease relative to conventional imaging in prostate cancer staging. Since its FDA approval and incorporation into treatment guidelines, the use of PSMA PET has increased in patients undergoing initial staging, those with recurrence after initial definitive treatment, and patients with metastatic disease. Although the early detection of metastatic lesions is changing disease management, it is unclear whether this impact on management translates into clinical benefit. This review will summarize evidence pertaining to the change in patient management due to PSMA PET use and will discuss the implications of PSMA PET on treatment decisions in prostate cancer, particularly in the settings of biochemical recurrence and metachronous oligometastatic disease.https://www.mdpi.com/2072-6694/14/24/6194prostate cancerPET PSMAradiotherapyoligometastasisbiochemical recurrence
spellingShingle Ali Sabbagh
Osama Mohamad
Katie E. Lichter
Thomas A. Hope
Management of Patients with Recurrent and Metachronous Oligometastatic Prostate Cancer in the Era of PSMA PET
Cancers
prostate cancer
PET PSMA
radiotherapy
oligometastasis
biochemical recurrence
title Management of Patients with Recurrent and Metachronous Oligometastatic Prostate Cancer in the Era of PSMA PET
title_full Management of Patients with Recurrent and Metachronous Oligometastatic Prostate Cancer in the Era of PSMA PET
title_fullStr Management of Patients with Recurrent and Metachronous Oligometastatic Prostate Cancer in the Era of PSMA PET
title_full_unstemmed Management of Patients with Recurrent and Metachronous Oligometastatic Prostate Cancer in the Era of PSMA PET
title_short Management of Patients with Recurrent and Metachronous Oligometastatic Prostate Cancer in the Era of PSMA PET
title_sort management of patients with recurrent and metachronous oligometastatic prostate cancer in the era of psma pet
topic prostate cancer
PET PSMA
radiotherapy
oligometastasis
biochemical recurrence
url https://www.mdpi.com/2072-6694/14/24/6194
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AT katieelichter managementofpatientswithrecurrentandmetachronousoligometastaticprostatecancerintheeraofpsmapet
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