18F DCFPyL PSMA avid biopsy proven subcutaneous capillary haemangioma as a malignancy mimic in the setting of biochemical recurrent prostate carcinoma

We present a case of a 65-year-old male with a biopsy proven subcutaneous capillary haemangioma identified on imaging for evaluation of further metastatic spread of prostatic carcinoma due to a rise in his prostate-specific antigen biochemistry. He was receiving salvage radiation therapy for his kno...

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Main Authors: Manvinder Dhillon, MBBS, BMedSci, PGDAAD, MS, Dalveer Singh, MBBS, FRANZCR, FAANMS
Format: Article
Language:English
Published: Elsevier 2022-06-01
Series:Radiology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1930043322002564
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author Manvinder Dhillon, MBBS, BMedSci, PGDAAD, MS
Dalveer Singh, MBBS, FRANZCR, FAANMS
author_facet Manvinder Dhillon, MBBS, BMedSci, PGDAAD, MS
Dalveer Singh, MBBS, FRANZCR, FAANMS
author_sort Manvinder Dhillon, MBBS, BMedSci, PGDAAD, MS
collection DOAJ
description We present a case of a 65-year-old male with a biopsy proven subcutaneous capillary haemangioma identified on imaging for evaluation of further metastatic spread of prostatic carcinoma due to a rise in his prostate-specific antigen biochemistry. He was receiving salvage radiation therapy for his known isolated nodal disease, four years after prostatectomy. An intensely avid prostate-specific membrane antigen positron emission tomography-computed tomography lesion in the left paramedian back at the level of L1 was noted on his scan. A core biopsy revealed a dermal haemangioma with no evidence of metastatic prostatic carcinoma. To our knowledge, only one other incidental case of prostate-specific membrane antigen avid subcutaneous capillary haemangioma has been described in the literature. Whilst uncommon, incidental findings of prostate-specific membrane antigen PET avid dermal lesions are pathognomonic for haemangiomas and can be treated as “no touch” lesions with watchful observation.
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spelling doaj.art-7a61208e747b4c20b9a3900a45b29d6f2022-12-22T00:12:23ZengElsevierRadiology Case Reports1930-04332022-06-011762211221418F DCFPyL PSMA avid biopsy proven subcutaneous capillary haemangioma as a malignancy mimic in the setting of biochemical recurrent prostate carcinomaManvinder Dhillon, MBBS, BMedSci, PGDAAD, MS0Dalveer Singh, MBBS, FRANZCR, FAANMS1School of Medicine, University of Queensland, Herston, QLD 4006 AustraliaSchool of Medicine, University of Queensland, Herston, QLD 4006 Australia; Qscan Radiology Clinics, Brisbane, QLD 7000 Australia; Corresponding author.We present a case of a 65-year-old male with a biopsy proven subcutaneous capillary haemangioma identified on imaging for evaluation of further metastatic spread of prostatic carcinoma due to a rise in his prostate-specific antigen biochemistry. He was receiving salvage radiation therapy for his known isolated nodal disease, four years after prostatectomy. An intensely avid prostate-specific membrane antigen positron emission tomography-computed tomography lesion in the left paramedian back at the level of L1 was noted on his scan. A core biopsy revealed a dermal haemangioma with no evidence of metastatic prostatic carcinoma. To our knowledge, only one other incidental case of prostate-specific membrane antigen avid subcutaneous capillary haemangioma has been described in the literature. Whilst uncommon, incidental findings of prostate-specific membrane antigen PET avid dermal lesions are pathognomonic for haemangiomas and can be treated as “no touch” lesions with watchful observation.http://www.sciencedirect.com/science/article/pii/S1930043322002564Capillary haemangiomaProstate carcinomaPSMA PET-CT
spellingShingle Manvinder Dhillon, MBBS, BMedSci, PGDAAD, MS
Dalveer Singh, MBBS, FRANZCR, FAANMS
18F DCFPyL PSMA avid biopsy proven subcutaneous capillary haemangioma as a malignancy mimic in the setting of biochemical recurrent prostate carcinoma
Radiology Case Reports
Capillary haemangioma
Prostate carcinoma
PSMA PET-CT
title 18F DCFPyL PSMA avid biopsy proven subcutaneous capillary haemangioma as a malignancy mimic in the setting of biochemical recurrent prostate carcinoma
title_full 18F DCFPyL PSMA avid biopsy proven subcutaneous capillary haemangioma as a malignancy mimic in the setting of biochemical recurrent prostate carcinoma
title_fullStr 18F DCFPyL PSMA avid biopsy proven subcutaneous capillary haemangioma as a malignancy mimic in the setting of biochemical recurrent prostate carcinoma
title_full_unstemmed 18F DCFPyL PSMA avid biopsy proven subcutaneous capillary haemangioma as a malignancy mimic in the setting of biochemical recurrent prostate carcinoma
title_short 18F DCFPyL PSMA avid biopsy proven subcutaneous capillary haemangioma as a malignancy mimic in the setting of biochemical recurrent prostate carcinoma
title_sort 18f dcfpyl psma avid biopsy proven subcutaneous capillary haemangioma as a malignancy mimic in the setting of biochemical recurrent prostate carcinoma
topic Capillary haemangioma
Prostate carcinoma
PSMA PET-CT
url http://www.sciencedirect.com/science/article/pii/S1930043322002564
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