Port site metastasis after robotic assisted laparoscopic radical prostatectomy: Diagnosis via prostate-specific membrane antigen (PSMA)-targeted 18F-DCFPyL PET/CT

We present a case of port site metastasis (PSM) that was identified in an 82-year-old man with an elevated prostate-specific antigen (PSA) to 3.9 ng/mL, concerning for biochemical recurrence after robotic-assisted radical prostatectomy, adjuvant radiation, and six months of androgen deprivation ther...

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Main Authors: Joon Yau Leong, Maria J. D'Amico, Courtney E. Capella, Leonard G. Gomella, Joseph K. Izes
Format: Article
Language:English
Published: Elsevier 2025-07-01
Series:Urology Case Reports
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Online Access:http://www.sciencedirect.com/science/article/pii/S2214442025001536
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author Joon Yau Leong
Maria J. D'Amico
Courtney E. Capella
Leonard G. Gomella
Joseph K. Izes
author_facet Joon Yau Leong
Maria J. D'Amico
Courtney E. Capella
Leonard G. Gomella
Joseph K. Izes
author_sort Joon Yau Leong
collection DOAJ
description We present a case of port site metastasis (PSM) that was identified in an 82-year-old man with an elevated prostate-specific antigen (PSA) to 3.9 ng/mL, concerning for biochemical recurrence after robotic-assisted radical prostatectomy, adjuvant radiation, and six months of androgen deprivation therapy with an undetectable PSA post-treatment over 10 years ago. A 2.1 cm solitary tracer avid nodule on the right lateral abdominal wall with no other evidence of recurrence or metastatic disease was found on prostate-specific membrane antigen (PSMA)–targeted 18F-DCFPyL PET/CT scan. The patient underwent local excision of this metastatic lesion, and final pathology revealed metastatic prostatic adenocarcinoma.
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publishDate 2025-07-01
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series Urology Case Reports
spelling doaj-art-92f20e67af8c4d9eaedf99a8dfe69ee92025-08-20T03:56:45ZengElsevierUrology Case Reports2214-44202025-07-016110308210.1016/j.eucr.2025.103082Port site metastasis after robotic assisted laparoscopic radical prostatectomy: Diagnosis via prostate-specific membrane antigen (PSMA)-targeted 18F-DCFPyL PET/CTJoon Yau Leong0Maria J. D'Amico1Courtney E. Capella2Leonard G. Gomella3Joseph K. Izes4Corresponding author. Department of Urology, Sidney Kimmel Cancer Center, Thomas Jefferson University, 1025 Walnut St, Ste 1110, Philadelphia, PA, 19107, USA.; Department of Urology, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA, 19107, USADepartment of Urology, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA, 19107, USADepartment of Urology, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA, 19107, USADepartment of Urology, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA, 19107, USADepartment of Urology, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA, 19107, USAWe present a case of port site metastasis (PSM) that was identified in an 82-year-old man with an elevated prostate-specific antigen (PSA) to 3.9 ng/mL, concerning for biochemical recurrence after robotic-assisted radical prostatectomy, adjuvant radiation, and six months of androgen deprivation therapy with an undetectable PSA post-treatment over 10 years ago. A 2.1 cm solitary tracer avid nodule on the right lateral abdominal wall with no other evidence of recurrence or metastatic disease was found on prostate-specific membrane antigen (PSMA)–targeted 18F-DCFPyL PET/CT scan. The patient underwent local excision of this metastatic lesion, and final pathology revealed metastatic prostatic adenocarcinoma.http://www.sciencedirect.com/science/article/pii/S2214442025001536Port site metastasisProstate adenocarcinomaPSMA-PET/CT
spellingShingle Joon Yau Leong
Maria J. D'Amico
Courtney E. Capella
Leonard G. Gomella
Joseph K. Izes
Port site metastasis after robotic assisted laparoscopic radical prostatectomy: Diagnosis via prostate-specific membrane antigen (PSMA)-targeted 18F-DCFPyL PET/CT
Urology Case Reports
Port site metastasis
Prostate adenocarcinoma
PSMA-PET/CT
title Port site metastasis after robotic assisted laparoscopic radical prostatectomy: Diagnosis via prostate-specific membrane antigen (PSMA)-targeted 18F-DCFPyL PET/CT
title_full Port site metastasis after robotic assisted laparoscopic radical prostatectomy: Diagnosis via prostate-specific membrane antigen (PSMA)-targeted 18F-DCFPyL PET/CT
title_fullStr Port site metastasis after robotic assisted laparoscopic radical prostatectomy: Diagnosis via prostate-specific membrane antigen (PSMA)-targeted 18F-DCFPyL PET/CT
title_full_unstemmed Port site metastasis after robotic assisted laparoscopic radical prostatectomy: Diagnosis via prostate-specific membrane antigen (PSMA)-targeted 18F-DCFPyL PET/CT
title_short Port site metastasis after robotic assisted laparoscopic radical prostatectomy: Diagnosis via prostate-specific membrane antigen (PSMA)-targeted 18F-DCFPyL PET/CT
title_sort port site metastasis after robotic assisted laparoscopic radical prostatectomy diagnosis via prostate specific membrane antigen psma targeted 18f dcfpyl pet ct
topic Port site metastasis
Prostate adenocarcinoma
PSMA-PET/CT
url http://www.sciencedirect.com/science/article/pii/S2214442025001536
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