Beyond the Usual Suspects: Abdominal Wall Metastases in Prostate Cancer Diagnosed by 68Ga-PMSA PET/CT Authors Sharjeel Usmani Department of Radiology and Nuclear Medicine, Sultan Qaboos Comprehensive Cancer Care and Research center (SQCCCRC), Muscat Oman. Khulood Al Riyami Department of Radiology and Nuclear Medicine, Sultan Qaboos Comprehensive Cancer Care and Research center (SQCCCRC), Muscat Oman. Anjali Jain Department of Radiology and Nuclear Medicine, Sultan Qaboos Comprehensive Cancer Care and Research center (SQCCCRC), Muscat Oman. Zahida Niaz Department of Pathology, Sultan Qaboos Comprehensive Cancer Care and Research center (SQCCCRC), Muscat Oman. Raza Sayani Department of Radiology and Nuclear Medicine, Sultan Qaboos Comprehensive Cancer Care and Research center (SQCCCRC), Muscat Oman. Shah P Naumani Department of Radiology, Stony Brook University, New York USA DOI: https://doi.org/10.47391/JPMA.25-32 Abstract 68Ga-PMSA PET imaging has revolutionized both diagnosis and radioligand therapy selection in patients withmetastatic prostate cancer. We report the case of a 63-year-old man with prostate adenocarcinoma who underwentradical prostatectomy followed by radiation therapy and ADT. Found to have rising PSA levels and referred for 68Ga-PSMA PET/CT for restaging. 68Ga-PSMA PET/CT showed multiple suspicious 68Ga-PSMA PSMA avid mediastinallymph nodes and an avid lesion in the right lower anterior abdominal wall; suspicious for metastasis.Ultrasonography guided biopsy showed metastatic prostate adenocarcinoma. In our cases, 68Ga-PSMA PET/CTidentified the unexpected metastatic site which leads to change patient management and potentially improvingpatient outcome.Keywords: 68Ga-PSMA PET/CT; prostate cancer; anterior abdominal wall metastasis. Downloads Full Text Article Published 2025-03-18 How to Cite Sharjeel Usmani, Khulood Al Riyami, Anjali Jain, Zahida Niaz, Raza Sayani, & Shah P Naumani. (2025). Beyond the Usual Suspects: Abdominal Wall Metastases in Prostate Cancer Diagnosed by 68Ga-PMSA PET/CT. Journal of the Pakistan Medical Association, 75(04), 670–671. https://doi.org/10.47391/JPMA.25-32 More Citation Formats ACM ACS APA ABNT Chicago Harvard IEEE MLA Turabian Vancouver Download Citation Endnote/Zotero/Mendeley (RIS) BibTeX Issue Vol. 75 No. 04 (2025): APRIL Section IMAGING CORNER License Copyright (c) 2025 Journal of the Pakistan Medical Association This work is licensed under a Creative Commons Attribution 4.0 International License.