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Utility of whole-body diffusion-weighted magnetic resonance imaging in the management of treatment-related neuroendocrine prostate cancer.


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

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Publications

Utility of whole-body diffusion-weighted magnetic resonance imaging in the management of treatment-related neuroendocrine prostate cancer.

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]

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