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全身碘闪烁扫描偶然发现胸腺:2例报告及最新见解综述

Incidentally Visualization of the Thymus on Whole-Body Iodine Scintigraphy: Report of 2 Cases and Review of the Latest Insights.

作者信息

Haghighatafshar Mahdi, Farhoudi Farinaz

机构信息

From the Nuclear Medicine and Molecular Imaging Research Center (MH, FF), Shiraz University of Medical Sciences, Shiraz, Iran.

出版信息

Medicine (Baltimore). 2015 Jul;94(26):e1015. doi: 10.1097/MD.0000000000001015.

Abstract

Radioiodine uptake is not commonly seen by the thymus gland. On the contrary, the gland is slowly replaced by fat after puberty. Herein, we present 2 patients with papillary thyroid carcinoma, follicular variant, and cervical lymph node involvement. After total/near-total thyroidectomy, the patients received I for ablation therapy. On posttreatment radioiodine scintigraphy, mediastinal I uptake was noted that finally was histologically/anatomically diagnosed as thymus gland uptake. It should be borne in mind as a potential cause of false-positive whole-body I scintigraphy.

摘要

放射性碘摄取通常不会出现在胸腺。相反,青春期后胸腺会逐渐被脂肪替代。在此,我们报告2例滤泡状变异型乳头状甲状腺癌伴颈部淋巴结转移的患者。在全甲状腺切除或近全甲状腺切除术后,患者接受碘-131消融治疗。在治疗后的放射性碘闪烁扫描中,发现纵隔有碘摄取,最终经组织学/解剖学诊断为胸腺摄取。应将其视为全身碘闪烁扫描假阳性的潜在原因。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5173/4554064/3f37933fa202/medi-94-e1015-g001.jpg

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