（131）SPECT/CT 显示卵巢子宫内膜异位症。

(131)I SPECT/CT demonstrated ovarian endometrioma.

机构信息

From the Departments of *Nuclear Medicine, †Obstetrics and Gynecology, Buddhist Dalin Tzu Chi Hospital, Chiayi; and ‡School of Medicine, Tzu Chi University, Hualien, Taiwan.

出版信息

Clin Nucl Med. 2014 Feb;39(2):193-5. doi: 10.1097/RLU.0000000000000306.

DOI:10.1097/RLU.0000000000000306

PMID:24300362

Abstract

A 44-year-old woman had a history of papillary thyroid carcinoma and underwent total thyroidectomy and I ablation therapy. During the follow-up, 2-mCi I cancer workup showed an unusual shape of uptake in the pelvic region. Hybrid SPECT/CT revealed uptake posterior to the uterus, where sonography showed an 85.4-mm right ovarian endometrioma just corresponding to the location. Laparoscopic salpingo-oophorectomy showed right ovarian endometrioma (7 cm) and left ovarian cyst (4 cm). Pathologic findings showed bilateral endometriosis. After that survey, follow-up I cancer workup showed left supraclavicular, pretracheal, and right hilar metastatic lymphadenopathy with pulmonary metastasis, but no pelvic uptake was noted.

摘要

一位 44 岁女性患有甲状腺乳头状癌病史，曾接受甲状腺全切除术和碘-131 消融治疗。随访期间，2mCi 碘-131 癌症检查显示盆腔区域出现异常摄取形状。SPECT/CT 混合显像显示子宫后有摄取，超声显示右侧卵巢子宫内膜异位囊肿 85.4mm，正好与该位置相对应。腹腔镜下双侧附件切除术显示右侧卵巢子宫内膜异位囊肿（7cm）和左侧卵巢囊肿（4cm）。病理检查显示双侧子宫内膜异位症。在此检查后，后续碘-131 癌症检查显示左锁骨上、气管前和右肺门转移性淋巴结病伴肺转移，但未发现盆腔摄取。