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Short-term Prostate-specific Antigen Pseudoregression Following [ 177 Lu]-Prostate-specific Membrane Antigen Therapy : Tackling Prostate-specific Antigen Decline Limitations in Patient With Metastatic Castration-resistant Prostate Cancer.

Clinical nuclear medicine 2025 Vol.50(8) p. 791-792

Abdlkadir AS, Kamal N, Badarneh M, Al-Ibraheem A

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A 74-year-old man with metastatic castration-resistant prostate cancer underwent 2 cycles of [ 177 Lu]Lu-prostate-specific membrane antigen (PSMA) therapy.

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APA Abdlkadir AS, Kamal N, et al. (2025). Short-term Prostate-specific Antigen Pseudoregression Following [ 177 Lu]-Prostate-specific Membrane Antigen Therapy : Tackling Prostate-specific Antigen Decline Limitations in Patient With Metastatic Castration-resistant Prostate Cancer.. Clinical nuclear medicine, 50(8), 791-792. https://doi.org/10.1097/RLU.0000000000005792
MLA Abdlkadir AS, et al.. "Short-term Prostate-specific Antigen Pseudoregression Following [ 177 Lu]-Prostate-specific Membrane Antigen Therapy : Tackling Prostate-specific Antigen Decline Limitations in Patient With Metastatic Castration-resistant Prostate Cancer.." Clinical nuclear medicine, vol. 50, no. 8, 2025, pp. 791-792.
PMID 40524356

Abstract

A 74-year-old man with metastatic castration-resistant prostate cancer underwent 2 cycles of [ 177 Lu]Lu-prostate-specific membrane antigen (PSMA) therapy. Despite declining prostate-specific antigen (PSA) levels and pain relief throughout the first 4 months of [ 177 Lu]Lu-PSMA therapy, follow-up [ 68 Ga]Ga-PSMA PET/CT revealed progressive skeletal involvement. A bone marrow biopsy confirmed fulminant metastatic castration-resistant prostate cancer infiltration. This case exemplifies PSA pseudoregression, where PSA suggests disease control while imaging shows progression. The patient's condition deteriorated, leading to intensive care admission and death.

MeSH Terms

Humans; Male; Prostatic Neoplasms, Castration-Resistant; Aged; Prostate-Specific Antigen; Lutetium; Neoplasm Metastasis; Positron Emission Tomography Computed Tomography; Antigens, Surface; Glutamate Carboxypeptidase II; Radioisotopes

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