Open AccessIncidental thyroid 99mTc-MDP uptake in a patient affected by differentiated thyroid cancer
Author(s) -
Domenico Albano,
Gian Carlo Magri,
Giorgio Treglia,
Francesco Bertagna
Publication year - 2016
Publication title -
nuclear medicine review
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.216
H-Index - 21
eISSN - 1644-4345
pISSN - 1506-9680
DOI - 10.5603/nmr.2016.0030
Subject(s) - medicine , bone scintigraphy , radiology , thyroid , thyroid cancer , scintigraphy , thyroid carcinoma , radiation therapy , quadrantectomy , nodule (geology) , nuclear medicine , cancer , breast cancer , mastectomy , paleontology , biology
We report a case of incidental uptake of 99mTc-methylene diphosphonate in the thyroid in a 62-year-old female with a history of breast cancer treated with quadrantectomy, chemotherapy and radiotherapy, who underwent total-body-bone scintigraphy during follow up. Planar scintigraphy was followed by neck SPECT-CT that demonstrated an area of increased tracer uptake in the neck at the left lobe of the thyroid. Neck ultrasonography showed a nodule corresponding to SPECT-CT finding and the ultrasound-guided fine needle aspiration documented the presence of papillary carcinoma. The patient underwent total thyroidectomy and ipsilateral lymphadenectomy; histological examination confirmed the presence of a papillary carcinoma and the patient underwent ablation therapy with iodine-131.