The use of SPECT-CT improves accuracy of post radioiodine therapy imaging and changes the management strategy in a case of advanced follicular thyroid carcinoma
- Author:
Teck Huat Wong
;
Siti Zarina Amir Hassan
- Publication Type:Case Reports
- Keywords:
Follicular thyroid cancer;
differentiated thyroid carcinoma;
adrenal metastasis;
brain metastasis;
SPECT-CT;
planar whole body scan
- From:
The Medical Journal of Malaysia
2015;70(6):356-357
- CountryMalaysia
- Language:English
-
Abstract:
This is a case of follicular thyroid carcinoma with extensive
lung, bone and brain metastases. Multi-modality treatments
including total thyroidectomy, modified radical neck
dissection, cranial radiotherapy and Iodine-131 (RAI)
therapy were instituted. Post RAI therapy planar whole body
scan showed RAI avid metastases in the skull, cervical
spine, bilateral lungs and abdomen. With the use of SPECTCT
imaging, rare adrenal metastasis and additional rib
metastasis were identified. Besides, management strategy
was altered due to detection of non-RAI avid brain and lung
metastatic lesions.
- Full text:P020160224458186376007.pdf
