Department of Nuclear Medicine, Peking Union Medical College Hospital, Beijing 100730, China.
Chin Med J (Engl). 2012 Jan;125(1):153-6.
A female papillary thyroid cancer patient with diffuse micronodular pulmonary metastases was confirmed only by post radioactive iodine (RAI) therapy whole body scan (RxWBS). Her diagnostic iodine-131 whole body scan (DxWBS), chest CT and 18FDG PET/CT scan were all negative. Attention and pitfalls of this case concerning surgical and RAI dose management are against current international guidelines on thyroid cancer.
一位女性甲状腺乳头状癌患者,伴有弥漫性微小结节性肺转移,仅通过放射性碘(RAI)治疗后全身扫描(RxWBS)得到证实。她的诊断性碘-131 全身扫描(DxWBS)、胸部 CT 和 18FDG PET/CT 扫描均为阴性。该病例在手术和 RAI 剂量管理方面的注意事项和陷阱与当前甲状腺癌的国际指南相违背。