Utility of whole‐body diffusion‐weighted magnetic resonance imaging in the management of treatment‐related neuroendocrine prostate cancer
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 lyt...
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doaj-628c9f0e141e46f49e9991fe3eb34dc22021-03-02T15:16:44ZengWileyIJU Case Reports2577-171X2021-03-0142697310.1002/iju5.12242Utility of whole‐body diffusion‐weighted magnetic resonance imaging in the management of treatment‐related neuroendocrine prostate cancerRyo Kurashina0Toshiki Kijima1Akihito Okazaki2Hirotaka Fuchizawa3Issei Suzuki4Kazumasa Sakamoto5Hironori Betsunoh6Yoshitatsu Fukabori7Masahiro Yashi8Takao Kamai9Department of Urology Dokkyo Medical University Tochigi JapanDepartment of Urology Dokkyo Medical University Tochigi JapanDepartment of Urology Dokkyo Medical University Tochigi JapanDepartment of Urology Dokkyo Medical University Tochigi JapanDepartment of Urology Dokkyo Medical University Tochigi JapanDepartment of Urology Dokkyo Medical University Tochigi JapanDepartment of Urology Dokkyo Medical University Tochigi JapanDepartment of Urology Dokkyo Medical University Tochigi JapanDepartment of Urology Dokkyo Medical University Tochigi JapanDepartment of Urology Dokkyo Medical University Tochigi JapanIntroduction 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.https://doi.org/10.1002/iju5.12242chemotherapydiffusion‐weighted magnetic resonance imagingneuroendocrine tumorsprostate cancerprostate‐specific antigen |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Ryo Kurashina Toshiki Kijima Akihito Okazaki Hirotaka Fuchizawa Issei Suzuki Kazumasa Sakamoto Hironori Betsunoh Yoshitatsu Fukabori Masahiro Yashi Takao Kamai |
spellingShingle |
Ryo Kurashina Toshiki Kijima Akihito Okazaki Hirotaka Fuchizawa Issei Suzuki Kazumasa Sakamoto Hironori Betsunoh Yoshitatsu Fukabori Masahiro Yashi Takao Kamai Utility of whole‐body diffusion‐weighted magnetic resonance imaging in the management of treatment‐related neuroendocrine prostate cancer IJU Case Reports chemotherapy diffusion‐weighted magnetic resonance imaging neuroendocrine tumors prostate cancer prostate‐specific antigen |
author_facet |
Ryo Kurashina Toshiki Kijima Akihito Okazaki Hirotaka Fuchizawa Issei Suzuki Kazumasa Sakamoto Hironori Betsunoh Yoshitatsu Fukabori Masahiro Yashi Takao Kamai |
author_sort |
Ryo Kurashina |
title |
Utility of whole‐body diffusion‐weighted magnetic resonance imaging in the management of treatment‐related neuroendocrine prostate cancer |
title_short |
Utility of whole‐body diffusion‐weighted magnetic resonance imaging in the management of treatment‐related neuroendocrine prostate cancer |
title_full |
Utility of whole‐body diffusion‐weighted magnetic resonance imaging in the management of treatment‐related neuroendocrine prostate cancer |
title_fullStr |
Utility of whole‐body diffusion‐weighted magnetic resonance imaging in the management of treatment‐related neuroendocrine prostate cancer |
title_full_unstemmed |
Utility of whole‐body diffusion‐weighted magnetic resonance imaging in the management of treatment‐related neuroendocrine prostate cancer |
title_sort |
utility of whole‐body diffusion‐weighted magnetic resonance imaging in the management of treatment‐related neuroendocrine prostate cancer |
publisher |
Wiley |
series |
IJU Case Reports |
issn |
2577-171X |
publishDate |
2021-03-01 |
description |
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. |
topic |
chemotherapy diffusion‐weighted magnetic resonance imaging neuroendocrine tumors prostate cancer prostate‐specific antigen |
url |
https://doi.org/10.1002/iju5.12242 |
work_keys_str_mv |
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