Captación de 18F-FDG en timo tras terapia ablativa de restos tiroideos con 131I

M.D. Albalá González, E. Martínez Gimeno, C. Cárdenas Negro, A. Allende Riera, D. Cabello García, M. De Sequera Rahola, J.A. Uña Gorospe
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引用次数: 2

Abstract

We report the case of a 47 year-old woman with a history of non-Hodgkin's lymphoma. During the course of her disease, we performed various 18FFDG PET/CT that identified several significant incidental findings. First, we incidentally identified a hypermetabolic nodule in the left thyroid lobe, whose final diagnosis was differentiated thyroid carcinoma. Second, metabolic activity was visualized in the thymus secondary to ablative treatment with radioiodine. This uptake disappeared in subsequent studies. Several papers have reported thymic rebound following chemotherapy but we have found only one case report of 18FFDG uptake after radioiodine treatment. On the other hand, this case is of interest because it supports the benefit of studying the hypermetabolic thyroid nodules incidentally detected on the PET/CT performed for other reasons.

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我们报告的情况下,47岁的妇女与非霍奇金淋巴瘤的历史。在她的疾病过程中,我们进行了各种18FFDG PET/CT检查,发现了几个重要的偶然发现。首先,我们偶然发现了左侧甲状腺叶的高代谢结节,其最终诊断为分化型甲状腺癌。其次,观察放射性碘消融治疗后胸腺的代谢活性。这种吸收在随后的研究中消失了。一些论文报道了化疗后胸腺反弹,但我们只发现一例放射性碘治疗后18FFDG摄取的报告。另一方面,该病例值得关注,因为它支持了对因其他原因在PET/CT上偶然发现的高代谢甲状腺结节的研究。
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