PMC3350075_01
PET CT showed pathological increased FDG involvement of the left supraclavicular (suvmax: 4.5), aorticopulmonary (suvmax: 3.6), paratracheal (suvmax: 4.1), left tracheobronchial (suvmax: 5), left hilar (suvmax: 4.95), superior phrenic (suvmax: 5.1), paraaortic-aortocaval (suvmax: 8), common iliac (suvmax: 7.7), left external iliac (suvmax: 9), and left inguinale (suvmax: 7.15) lymph nodes.
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PMC3350075_01_CRIM.UROLOGY2011-439732.001.jpg
fig1
After it, PET CT showed pathological increased FDG involvement of the left supraclavicular (suvmax: 4.5), aorticopulmonary (suvmax: 3.6), paratracheal (suvmax: 4.1), left tracheobronchial (suvmax: 5), left hilar (suvmax: 4.95), superior phrenic (suvmax: 5.1), paraaortic aortocaval (suvmax: 8), common iliac (suvmax: 7.7), left external iliac (suvmax: 9) and left inguinale (suvmax: 7.15) lymph nodes (Figure 1).
(a) Histopathological diagnose was acinar type adenocarcinoma, gleason grade was 4 + 5, perineural invasion (+) (hematoxylin-eosin, magnification X200). (b) The tumor cells stained strongly positive for prostate-specific antigen and stains for neuron-specific enolase, synaptophysin, chromogranin, S-100, pancytokeratin, leukocyte common antigen, and carcinoembryonic antigen were negative (immunohistochemical staining X100).
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fig2
Stains for neuron-specific enolase, synaptophysin, chromogranin, S-100, pancytokeratin, leukocyte common antigen, and carcinoembryonic antigen were negative (Figure 2). 