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Submitted: 10 July 2012 Modified: 27 August 2012
HERDIN Record #: PCHRD12071015223333

Neck lesions persistently seen in 131 iodine whole body scans: Are they thyroid remnants?.

1Jamilia L. Gomez,
2Gerard F. Goco,
3Asela B. Barroso
Department of Nuclear Medicine - St. Luke's Medical Center

Abstract

In not a few instances have nuclear medicine physicians encountered persistent neck lesions in 131I whole body scintigraphy despite giving repeated radioactive iodine therapy. Interpreting these lesions as still thyroid remnants served as a dilemma. This is a case of a 37-year-old female with papillary thyroid cancer. 131I whole body scans done before and one year after radioactive iodine therapy showed persistent and unchanged neck lesions. Further imaging with SPECT/CT showed laryngeal skeleton involvement. Rarity of vascular and lymphatic spread to the larynx has led to a small number of reported cases. Neck lesions should not always be immediately diagnosed as thyroid remnants.

1.
Publication Type:
Journal
Publication Sub Type:
Case report
Title:
The Philippine Journal of Nuclear Medicine
Frequency:
Semi-Annual
Publication Date:
July-December 2012
Volume:
7
Issue:
2
Page(s):
24-26
Publisher:
Philippine Society of Nuclear Medicine

LocationCall NumberAvailable FormatAvailability
Philippine Council for Health Research and Development Library Box No. 21 Fulltext Print Format (Request Document)