title: The role of imaging in the diagnosis of recurrence of primary seminal vesicle adenocarcinoma.
abstract: Primary seminal vesicle (SV) adenocarcinoma is a rare tumor. A small amount of data about the role of imaging to detect tumor recurrence is available. We report the case of a 58-year-old patient with primary SV clear-cell well-differentiated adenocarcinoma. Clinical and instrumental examinations were negative for the 32 months after treatments when computed tomography scan, [(18)F]fluoro-D-glucose positron emission tomography/computed tomography and pelvic magnetic resonance imaging showed the appearance of a lesion in the left perineal muscle suspected for recurrence. Patient was symptomless. Cytology of the suspected lesion confirmed SV adenocarcinoma recurrence. The combined approach, using radiological and nuclear medicine techniques, seems to be effective in the follow-up of SV adenocarcinoma. Technological advances, together with awareness of this rare tumor, have the potential of improving patients outcomes not only by providing earlier detection and accurate staging, but also by detecting recurrence and thereby avoiding delays and therapeutic dilemmas.
authors.affiliation: Nuclear Medicine Unit, Arcispedale Santa Maria Nuova-IRCCS, Reggio Emilia, Italy.
authors.forename: Martina
authors.initials: M
authors.lastname: Sollini
authors.affiliation: Radiology Unit, Arcispedale Santa Maria Nuova-IRCCS, Reggio Emilia, Italy.
authors.forename: Monica
authors.initials: M
authors.lastname: Silvotti
authors.affiliation: Nuclear Medicine Unit, Arcispedale Santa Maria Nuova-IRCCS, Reggio Emilia, Italy.
authors.forename: Massimiliano
authors.initials: M
authors.lastname: Casali
authors.affiliation: Radiology Unit, Arcispedale Santa Maria Nuova-IRCCS, Reggio Emilia, Italy.
authors.forename: Franco
authors.initials: F
authors.lastname: Giovanardi
authors.affiliation: Oncology Unit, Arcispedale Santa Maria Nuova-IRCCS, Reggio Emilia, Italy.
authors.forename: Alvise
authors.initials: A
authors.lastname: Zadro
authors.affiliation: Nuclear Medicine Unit, Arcispedale Santa Maria Nuova-IRCCS, Reggio Emilia, Italy.
authors.forename: Armando
authors.initials: A
authors.lastname: Froio
authors.affiliation: Regional Center of Nuclear Medicine, University of Pisa, Pisa, Italy.
authors.forename: Paola Anna
authors.initials: PA
authors.lastname: Erba
authors.affiliation: Nuclear Medicine Unit, Arcispedale Santa Maria Nuova-IRCCS, Reggio Emilia, Italy.
authors.forename: Annibale
authors.initials: A
authors.lastname: Versari
keywords: Magnetic resonance imaging; Multidetector computed tomography; Positron-emission tomography; Seminal vesicles; Urogenital neoplasms