Journal of Thyroid Disorders & Therapy
Open Access
ISSN: 2167-7948
+44 1300 500008
ISSN: 2167-7948
+44 1300 500008
Ozgur Omur
Ege University Medical Faculty,
35100
Turkey
Case Report
Value of SPECT/CT in Cervical Vertebra Metastasis Mimicking Residual Thyroid Tissue on Planar I-131 Scan
Author(s): Aylin Oral, Ozgur Omur, Bulent Yazici and Aysegul AkgunAylin Oral, Ozgur Omur, Bulent Yazici and Aysegul Akgun
A total thyroidectomy was performed on a 62 year-old male patient with 3.5 cm cold nodule and diagnosis of
differentiated thyroid carcinoma was made. He received 200 mCi of I-131 because pulmonary metastases were founded on computed tomography and his serum thyroglobulin level was high (>300 ng/ml). Post-therapy planar whole body scan showed diffuse pulmonary tracer accumulation consistent with pulmonary metastases, 3 foci of activities in the thyroid region of neck and physiological tracer uptake in the liver. Initially, it was considered that high serum thyroglobulin level was caused by pulmonary metastases and activities in the neck were due to residual thyroid tissue. But, single photon emission computed tomography/computed tomography (SPECT/CT) images demonstrated that the activity in the midline of the neck was originated in the cervical (C5-6) vertebra due to bone met.. View More»
DOI:
10.4172/2167-7948.1000165