TY - JOUR
T1 - 123I accumulation in thoracic neoesophagus masking residual papillary thyroid cancer
AU - Jackson, Tatianie
AU - Sabbah, Nathanael
AU - Iagaru, Andrei
N1 - Publisher Copyright:
© 2015 Wolters Kluwer Health, Inc.
PY - 2015/2/21
Y1 - 2015/2/21
N2 - A 56-year-old woman with prior esophageal resection and reconstruction after accidental lye ingestion presented for management of recently diagnosed thyroid cancer. She had total thyroidectomy with pathology demonstrating bilateral well-differentiated papillary thyroid cancer measuring up to 1.0 cm and positive margins. Approximately 1 month after surgery, I whole-body scan was obtained. Planar images demonstrated linear I uptake in the thorax, compatible with accumulation in the neoesophagus. Given the patient's postsurgical anatomy, SPECT/CT of the thorax was done and demonstrated additional focal 123I uptake in the left lower neck, compatible with residual thyroid tissue versus thyroid cancer (lymph node metastasis).
AB - A 56-year-old woman with prior esophageal resection and reconstruction after accidental lye ingestion presented for management of recently diagnosed thyroid cancer. She had total thyroidectomy with pathology demonstrating bilateral well-differentiated papillary thyroid cancer measuring up to 1.0 cm and positive margins. Approximately 1 month after surgery, I whole-body scan was obtained. Planar images demonstrated linear I uptake in the thorax, compatible with accumulation in the neoesophagus. Given the patient's postsurgical anatomy, SPECT/CT of the thorax was done and demonstrated additional focal 123I uptake in the left lower neck, compatible with residual thyroid tissue versus thyroid cancer (lymph node metastasis).
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U2 - 10.1097/RLU.0000000000000499
DO - 10.1097/RLU.0000000000000499
M3 - Article
C2 - 24999691
AN - SCOPUS:84940283417
SN - 0363-9762
VL - 40
SP - e150-e151
JO - Clinical nuclear medicine
JF - Clinical nuclear medicine
IS - 2
ER -