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Fig. 5B —60-year-old man 2 years after radical prostatectomy for
Gleason 6 prostate cancer. Pathology showed tumor focally at inked surface of
left bladder base. Lymph nodes were negative for metastases. Postoperative
prostate-specific antigen (PSA) was 0.1 until 1 year later, when it rose to
0.38. His most recent PSA was 0.55. To help minimize radiation dose to bladder
and rectum, 111In capromab pendetide (222 MBq [6 mCi] IV)
scintigraphy was requested for intensity-modulated radiation therapy planning.
Multiplanar SPECT/CT clearly shows site of recurrence (thick arrow)
from rectum (thin arrow).
