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ABSTRACT: Introduction
Treatment-related neuroendocrine prostate cancer, a rare and aggressive malignancy that emerges during androgen deprivation therapy characterized by low serum prostate-specific antigen concentrations, is challenging to monitor because it is associated with predominantly visceral and lytic bone metastases.Case presentation
We describe the case of a 69-year-old man with treatment-related neuroendocrine prostate cancer in whom the treatment response could be monitored using whole-body diffusion-weighted magnetic resonance imaging in addition to serum concentrations of neuroendocrine markers. The patient responded well to platinum-based chemotherapy and achieved a complete response, as evidenced by these diagnostic modalities.Conclusion
Our case suggests that whole-body diffusion-weighted magnetic resonance imaging is useful in disease management for treatment-related neuroendocrine prostate cancer as well as the potential evaluation of mixed responses and treatment resistance.
SUBMITTER: Kurashina R
PROVIDER: S-EPMC7924092 | biostudies-literature | 2021 Mar
REPOSITORIES: biostudies-literature
Kurashina Ryo R Kijima Toshiki T Okazaki Akihito A Fuchizawa Hirotaka H Suzuki Issei I Sakamoto Kazumasa K Betsunoh Hironori H Fukabori Yoshitatsu Y Yashi Masahiro M Kamai Takao T
IJU case reports 20201129 2
<h4>Introduction</h4>Treatment-related neuroendocrine prostate cancer, a rare and aggressive malignancy that emerges during androgen deprivation therapy characterized by low serum prostate-specific antigen concentrations, is challenging to monitor because it is associated with predominantly visceral and lytic bone metastases.<h4>Case presentation</h4>We describe the case of a 69-year-old man with treatment-related neuroendocrine prostate cancer in whom the treatment response could be monitored u ...[more]