Neck lesions persistently seen in 131 iodine whole body scans: Are they thyroid remnants?
- Author:
Gomez Jamilia L
;
Goco Gerard F.L.
;
Barroso Asela B
- Publication Type:Case Reports
- MeSH:
Human;
Female;
Adult;
WHOLE BODY IMAGING;
DIAGNOSIS;
DIAGNOSTIC TECHNIQUES AND PROCEDURES;
DIAGNOSTIC IMAGING
- From:
The Philippine Journal of Nuclear Medicine
2012;7(2):24-26
- CountryPhilippines
- Language:English
-
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.
