{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T20:07:16Z","timestamp":1787170036945,"version":"build-2736575974"},"reference-count":11,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>A 70-year-old man diagnosed with acinar adenocarcinoma prostate (Gleason score 4 + 4 = 8) underwent bone scintigraphy due to high serum prostate-specific antigen level (224 ng\/mL; normal &lt;4 ng\/mL). Bone scan revealed moderately increased diffuse tracer uptake in the right hemipelvis, while the rest of the scan appeared normal, leading to suspicion of Paget\u2019s disease. Gallium-68-prostate-specific membrane antigen (PSMA) positron emission tomography\u2013computed tomography scan (CT) showed a PSMA-avid lesion in the left lobe of the prostate, with no PSMA uptake in the areas of diffuse sclerosis in the right hemipelvis, as seen on CT. This confirmed the diagnosis of Paget\u2019s disease.<\/jats:p>","DOI":"10.4103\/iju.iju_218_23","type":"journal-article","created":{"date-parts":[[2023,10,4]],"date-time":"2023-10-04T08:31:23Z","timestamp":1696408283000},"page":"328-330","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Elevated prostate-specific antigen in Paget\u2019s disease"],"prefix":"10.4103","volume":"39","author":[{"given":"Shrikant Vasantrao","family":"Solav","sequence":"first","affiliation":[{"name":"Department of Nuclear Medicine, SPECTLAB Nuclear Medicine Services, Pune, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manohar","family":"Inamdar","sequence":"additional","affiliation":[{"name":"Department of Medicine, Ashwini Hospital, Akluj, Solapur, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shailendra V.","family":"Savale","sequence":"additional","affiliation":[{"name":"Department of Medicine, Ashwini Hospital, Akluj, Solapur, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,9,29]]},"reference":[{"key":"R1-20240903","doi-asserted-by":"crossref","first-page":"1594","DOI":"10.1016\/j.juro.2015.07.082","article-title":"The risk of distant metastases and cancer specific survival in men with serum prostate specific antigen values above 100 ng\/ml","volume":"194","author":"Stattin","year":"2015","journal-title":"J Urol"},{"key":"R2-20240903","doi-asserted-by":"crossref","first-page":"747","DOI":"10.1016\/S0022-5347(17)40079-6","article-title":"Prostate specific antigen in the staging of localized prostate cancer: Influence of tumor differentiation, tumor volume and benign hyperplasia","volume":"143","author":"Partin","year":"1990","journal-title":"J Urol"},{"key":"R3-20240903","doi-asserted-by":"crossref","first-page":"22","DOI":"10.4103\/iju.iju_368_21","article-title":"Raised prostate-specific antigen alone may not be a true predictor in high-risk prostate cancer: A retrospective cohort analysis","volume":"38","author":"Garg","year":"2022","journal-title":"Indian J Urol"},{"key":"R4-20240903","doi-asserted-by":"crossref","first-page":"1607","DOI":"10.1007\/s00259-017-3712-6","article-title":"Fibrous dysplasia minicking bone metastasis on (68)Ga-PSMA PET\/MR","volume":"44","author":"De Coster","year":"2017","journal-title":"Eur J Nucl Med Mol Imaging"},{"key":"R5-20240903","doi-asserted-by":"crossref","first-page":"249","DOI":"10.2214\/ajr.150.2.249","article-title":"Paget disease of bone: Current status and a look back to 1943 and earlier","volume":"150","author":"Resnick","year":"1988","journal-title":"AJR Am J Roentgenol"},{"key":"R6-20240903","doi-asserted-by":"crossref","first-page":"1191","DOI":"10.1148\/radiographics.22.5.g02se281191","article-title":"From the archives of the AFIP. 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