Haghighatafshar Mahdi, Farhoudi Farinaz
From the Nuclear Medicine and Molecular Imaging Research Center (MH, FF), Shiraz University of Medical Sciences, Shiraz, Iran.
Medicine (Baltimore). 2015 Jul;94(26):e1015. doi: 10.1097/MD.0000000000001015.
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.
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。