García Alonso M P, Balsa Bretón M A, Paniagua Correa C, Castillejos Rodríguez L, Penín González F J, Elviro Peña R, Ortega Valle A, Mariana Monguía A, Vásquez Tineo S I, Mendoza Paulini A, Pey Illera C
Servicio de Medicina Nuclear, Hospital Universitario de Getafe, Madrid, España.
Rev Esp Med Nucl. 2011 Jan-Feb;30(1):24-8. doi: 10.1016/j.remn.2010.04.014. Epub 2010 Sep 21.
Differentiated thyroid cancer is a disease having a very good prognosis when treated adequately. Ablation treatment with (131)I is frequently adjunct to surgery in these patients since it improves survival. Radioiodine whole-body scan is one of the imaging modality of choice in the follow-up of patients with this kind of pathology. After ablation treatment of the thyroid gland, any radioiodine accumulation in a non-physiological location usually means the presence of functioning metastasis. Recognition of potential false-positives is essential to avoid unnecessary exposure to further radiation from repeated therapeutic doses of radioactive iodine. We report a case of uptake in the chest due to bronchiectasis, potentially masquerading as pulmonary metastasis.
分化型甲状腺癌在得到充分治疗时预后良好。对于这些患者,¹³¹I消融治疗常作为手术的辅助治疗,因为它能提高生存率。放射性碘全身扫描是这类疾病患者随访中首选的成像方式之一。甲状腺消融治疗后,任何放射性碘在非生理性部位的积聚通常意味着存在功能性转移灶。识别潜在的假阳性对于避免因重复给予放射性碘治疗剂量而受到不必要的额外辐射至关重要。我们报告一例因支气管扩张导致胸部放射性摄取的病例,其可能伪装成肺转移。