Wolf G, Aigner Reingard Maria, Humer-Fuchs Ursula, Schwarz Th, Krippl P, Wehrschuetz M
Klinische Abteilung für Nuklearmedizin, Universitätsklinik für Radiologie, Auenbruggerplatz 9, A-8036 Graz.
Acta Med Austriaca. 2002;29(4):141-2. doi: 10.1046/j.1563-2571.2002.02009.x.
A 60-year-old woman had a nephrectomy of her left kidney because of a renal cell carcinoma. She came to us for an oncologic F-18-fluordeoxyglucose-positron emission tomography (F-18-FDG-PET). In the positron emission tomography there was a pathologic fluordeoxyglucose-uptake in the left thyroid gland lobe. Thyroid investigation and Tc-99 m pertechnetate scintigraphy of the thyroid gland was done. It showed a hyperfunctioning nodule in the left thyroid gland lobe. Surgery was suggested. Histology showed a metastasis of a clear cell renal carcinoma in a microfollicular adenoma of the thyroid gland--a very rare combination.
一名60岁女性因肾细胞癌接受了左肾切除术。她前来我们这里进行肿瘤学F-18-氟脱氧葡萄糖正电子发射断层扫描(F-18-FDG-PET)。在正电子发射断层扫描中,左甲状腺叶出现病理性氟脱氧葡萄糖摄取。对甲状腺进行了检查并进行了甲状腺Tc-99m高锝酸盐闪烁扫描。结果显示左甲状腺叶有一个功能亢进结节。建议进行手术。组织学检查显示甲状腺微滤泡腺瘤中存在透明细胞肾癌细胞转移——这是一种非常罕见的组合。