PT - JOURNAL ARTICLE AU - Rahul Parghane AU - Sandip Basu TI - Small Cell Transformation of Metastatic Prostate Adenocarcinoma Diagnosed by Dual-Tracer PET/CT (<sup>68</sup>Ga-PSMA and <sup>18</sup>F-FDG): Potential Clinical Utility in Therapeutic Decision Making and Treatment Monitoring AID - 10.2967/jnmt.118.215582 DP - 2019 Mar 01 TA - Journal of Nuclear Medicine Technology PG - 85--87 VI - 47 IP - 1 4099 - http://tech.snmjournals.org/content/47/1/85.short 4100 - http://tech.snmjournals.org/content/47/1/85.full SO - J. Nucl. Med. Technol.2019 Mar 01; 47 AB - Transformed small cell carcinoma of the prostate represents a tumor biology distinct from its adenocarcinoma counterpart, and penile metastasis from prostate cancer is a rare phenomenon. Biologic heterogeneity among metastatic lesions in a patient with prostatic adenocarcinoma with SCPCa transformation is presented here. The case report shows the significance of using dual-tracer PET/CT with 68Ga-prostate-specific membrane antigen and 18F-FDG in diagnosing small cell carcinoma of prostate transformation in certain lesions, thereby guiding therapeutic strategies. Furthermore, the value of sequential dual-tracer PET/CT in assessing overall disease status, theranostics, and response to multimodality therapy is illustrated.