在近期有甲状腺癌病史的患者中，表现为碘摄取假阳性的肺炭末沉着纤维化。

Anthracofibrosis Manifesting as False-Positive Iodine Accumulation in a Patient With Recent History of Thyroid Carcinoma.

作者信息

Licht Katharina, Kroegel Claus, Katenkamp Kathrin, Freesmeyer Martin

机构信息

From the *Clinic of Nuclear Medicine, †Medical University Clinic I, and ‡Institute of Pathology, Jena University Hospital, Jena, Germany.

出版信息

Clin Nucl Med. 2016 Apr;41(4):336-7. doi: 10.1097/RLU.0000000000001074.

DOI:10.1097/RLU.0000000000001074

PMID:26571446

Abstract

A 33-year-old Indonesian woman presented for follow-up after a recent history of papillary thyroid carcinoma treated with total thyroidectomy and radioiodine therapy. A 131I whole-body scintigraphy showed an elongated iodine accumulation in the right hemithorax. On suspicion of pulmonary metastasis, further diagnostics with 124I PET/CT showed thickening of the bronchial wall and retention of secretion in a middle lobe bronchus. Bronchoscopy and histology allowed a diagnosis of stenosing anthracofibrosis with chronic inflammatory changes.

摘要

一名33岁的印度尼西亚女性因近期患乳头状甲状腺癌接受了全甲状腺切除术和放射性碘治疗前来复诊。131I全身闪烁扫描显示右半胸有一条状碘聚集。怀疑有肺转移，进一步行124I PET/CT检查显示支气管壁增厚，中叶支气管有分泌物潴留。支气管镜检查及组织学检查诊断为狭窄性炭末纤维化伴慢性炎症改变。