From the Departments of Nuclear Medicine.
Operation Management.
Clin Nucl Med. 2019 Dec;44(12):975-977. doi: 10.1097/RLU.0000000000002754.
A 35-year-old woman with papillary thyroid cancer underwent I therapy after thyroidectomy. Post-therapy whole body scan revealed increased activity in the pelvis, in addition to the activity in the neck. On SPECT/CT images, the radioactivity in the pelvis was localized in the rectum and cervix. Further inquiry discovered that the patient was menstruating. We concluded that abnormal radioiodine uptake in menstrual uterus might be an exceptional finding mimicking a metastasis.
一位 35 岁患有甲状腺乳头状癌的女性在甲状腺切除术后接受了碘治疗。治疗后全身扫描显示除颈部外，骨盆处也有活动增加。在 SPECT/CT 图像上，骨盆中的放射性物质定位于直肠和宫颈。进一步询问发现患者正在经期。我们得出结论，月经子宫中异常的碘摄取可能是一种罕见的表现，类似于转移。
