ABSTRACT
SUMMARY The whole-body iodine-131 scintigraphy is an imaging technique in monitoring patients with a history of thyroid cancer. Although the rate of false positives is negligible, it is not nonexistent. We report the case of an intervened and treated patient for thyroid cancer with good clinical and biochemical response. Scintigraphic findings were consistent with unsuspected bone metastasis. Fused SPECT/CT data allowed accurate diagnosis of giant diaphragmatic hernia associated with intrathoracic stomach, a very rare pathology that can lead to false positive results.
Subject(s)
Humans , Female , Aged , Bone Neoplasms/secondary , Bone Neoplasms/diagnostic imaging , Carcinoma/pathology , Carcinoma/diagnostic imaging , Single Photon Emission Computed Tomography Computed Tomography/methods , Hernia, Diaphragmatic/diagnostic imaging , Stomach/diagnostic imaging , Thyroid Neoplasms/pathology , Thyroid Neoplasms/diagnostic imaging , Carcinoma, Papillary , Diagnosis, Differential , Whole Body Imaging , Thyroid Cancer, Papillary , Iodine RadioisotopesABSTRACT
The whole-body iodine-131 scintigraphy is an imaging technique in monitoring patients with a history of thyroid cancer. Although the rate of false positives is negligible, it is not nonexistent. We report the case of an intervened and treated patient for thyroid cancer with good clinical and biochemical response. Scintigraphic findings were consistent with unsuspected bone metastasis. Fused SPECT/CT data allowed accurate diagnosis of giant diaphragmatic hernia associated with intrathoracic stomach, a very rare pathology that can lead to false positive results.
Subject(s)
Bone Neoplasms/diagnostic imaging , Bone Neoplasms/secondary , Carcinoma/diagnostic imaging , Carcinoma/pathology , Hernia, Diaphragmatic/diagnostic imaging , Single Photon Emission Computed Tomography Computed Tomography/methods , Thyroid Neoplasms/diagnostic imaging , Thyroid Neoplasms/pathology , Aged , Carcinoma, Papillary , Diagnosis, Differential , Female , Humans , Iodine Radioisotopes , Stomach/diagnostic imaging , Thyroid Cancer, Papillary , Whole Body ImagingABSTRACT
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