Fig. 1.
67-Year-old man with cT3a, Gleason score 3 + 4 = 7 prostate cancer and an initial PSA 27 ng/ml considered candidate for radical prostatectomy with extended pelvic lymph-node dissection. a Schematic drawing of the 12 prostate segments included in the study. b Transversal fused 18F-DCFPyL-PET and CT show intense focal uptake in the right posterior midgland and apex segments, with extracapsular extension. Based on the highest SUVmax of 6.09 and tumour size, segment 5 is recommended for potential targeted biopsy. c histopathology (hematoxylin and eosin stain, original magnification × 10) shows a tumour focus, in both segment 5 and 1 with a Gleason score 3 + 4 = 7 prostate cancer with extraprostatic extension (pT3a), hereby confirming the index lesion localisation by PET