Utility of Whole-body Diffusion-weighted Magnetic Resonance Imaging in the Management of Treatment-related Neuroendocrine Prostate Cancer
Overview
Authors
Affiliations
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.
Tanaka H, Yoshida S, Aoyama S, Ikeda S, Kunieda J, Ohashi K IJU Case Rep. 2024; 7(5):395-398.
PMID: 39224671 PMC: 11366435. DOI: 10.1002/iju5.12766.
Yoshida S, Fujii Y IJU Case Rep. 2021; 4(2):73-74.
PMID: 33718808 PMC: 7924079. DOI: 10.1002/iju5.12248.
Kurashina R, Kijima T, Okazaki A, Fuchizawa H, Suzuki I, Sakamoto K IJU Case Rep. 2021; 4(2):69-73.
PMID: 33718807 PMC: 7924092. DOI: 10.1002/iju5.12242.