Incidental thyroid 99mTc-MDP uptake in a patient affected by differentiated thyroid cancer

Domenico Albano; Gian Carlo Magri; Giorgio Treglia; Francesco Bertagna

doi:10.5603/NMR.2016.0030

Vol 19, Supp. B (2016)

Case report

Submitted: 2015-01-21

Accepted: 2015-03-31

Published online: 2016-10-14

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Incidental thyroid 99mTc-MDP uptake in a patient affected by differentiated thyroid cancer

Domenico Albano, Gian Carlo Magri, Giorgio Treglia, Francesco Bertagna

DOI: 10.5603/NMR.2016.0030

Pubmed: 27813621

Vol 19, Supp. B (2016)

Case Report

Submitted: 2015-01-21

Accepted: 2015-03-31

Published online: 2016-10-14

Abstract

We report a case of incidental uptake of 99mTc-methylene diphosphonate in the thyroid in a 62-year-old female with a history of breast cancer treated with quadrantectomy, chemotherapy and radiotherapy, who underwent total-body-bone scintigraphy during follow up. Planar scintigraphy was followed by neck SPECT-CT that demonstrated an area of increased tracer uptake in the neck at the left lobe of the thyroid. Neck ultrasonography showed a nodule corresponding to SPECT-CT finding and the ultrasound-guided fine needle aspiration documented the presence of papillary carcinoma. The patient underwent total thyroidectomy and ipsilateral lymphadenectomy; histological examination confirmed the presence of a papillary carcinoma and the patient underwent ablation therapy with iodine-131.