Öz
71 yaşında erkek hasta, bilateral total tiroidektomi sonrası papiller karsinom foliküler varyant tanısı aldı ve hastaya radyoaktif iyot tedavisi uygulandı. Postablatif 10. Günde uygulanan I-131 tüm vücut tarama sintigrafisinde batın sağ üst kadranda karaciğer sağ lobunda fokal I-131 tutuluşu dikkati çekti. Bunun üzerine tek foton emisyon bilgisayarlı tomografisi/ bilgisayarlı tomografi (SPECT/BT) uygulandı. Tanımlanan fokal I-131 tutulumun kolelitiazis nedeniyle olduğu anlaşıldı. Aynı dönem abdominal ultrasonografisinde safra kesesi boynunda ve lümen içinde serbest yüzen safra kesesi taşları izlendi
Anahtar Kelimeler
Differentiated thyroid cancer Iodine-131 scintigraphy cholelithiasis SPECT/CT
Kaynakça
- Aylin O, Bülent Y, Cenk E, Zeynep B. Unexpected False-positive I-131 Uptake in Patients with Differentiated Thyroid Carcinoma. Mol Imaging Radionucl Ther 2018; 27 (3): 99-106.
- Vincenzo T, Vito A, Michele I, et al. False positive diagnosis on 131 iodine whole-body scintigraphy of differentiated thyroid cancers. Endocrine 2016; 53 (3): 626-35.
- Omur O, Akgun A, Ozcan Z, Sen C, OzkiIic H. Clinical implications of diffuse hepatic uptake observed in postablative and post-therapeutic I131 scans. Clin Nucl Med 2009; 34 (1): 11-4.
- C. Brient, S. Mucci, D. Taieb, et al. Differentiated thyroid cancer with liver metastases: lessons learned from managing a series of 14 patients. Int Surg 2015; 100 (3): 490-6.
Öz
A 71-year-old male patient was diagnosed with papillary carcinoma follicular variant after bilateral total thyroidectomy and radioactive iodine treatment was applied. The post-therapeutic whole-body scan demonstrated a focal 131I uptake in the right lobe of the liver in the right upper quadrant of the abdomen. Single-photon emission computed tomography/computed tomography (SPECT/CT) was performed to determine the precise localization of 131I uptake. It was understood that the identified focal 131I activity was due to cholelithiasis. In the same period, free-floating gallstones in the lumen and the gallbladder neck were observed on the abdominal ultrasonography
Anahtar Kelimeler
Diferansiye tiroid karsinoma Iyot-131 sintigrafi kolelitiazis SPECT/BT.
Kaynakça
- Aylin O, Bülent Y, Cenk E, Zeynep B. Unexpected False-positive I-131 Uptake in Patients with Differentiated Thyroid Carcinoma. Mol Imaging Radionucl Ther 2018; 27 (3): 99-106.
- Vincenzo T, Vito A, Michele I, et al. False positive diagnosis on 131 iodine whole-body scintigraphy of differentiated thyroid cancers. Endocrine 2016; 53 (3): 626-35.
- Omur O, Akgun A, Ozcan Z, Sen C, OzkiIic H. Clinical implications of diffuse hepatic uptake observed in postablative and post-therapeutic I131 scans. Clin Nucl Med 2009; 34 (1): 11-4.
- C. Brient, S. Mucci, D. Taieb, et al. Differentiated thyroid cancer with liver metastases: lessons learned from managing a series of 14 patients. Int Surg 2015; 100 (3): 490-6.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Sağlık Kurumları Yönetimi |
| Bölüm | Görüntü Sunumu |
| Yazarlar | |
| Yayımlanma Tarihi | 12 Eylül 2022 |
| Gönderilme Tarihi | 16 Şubat 2022 |
| Yayımlandığı Sayı | Yıl 2022 |