Calandri Enrico, Filippi Luca, Alessandro Francesco, Aretano Ilaria, Pultrone Mirco
Department of Medicine and Urgency, Nuclear Medicine Unit, "Degli Infermi" Hospital, Ponderano (BI), Italy.
Department of Nuclear Medicine, "Santa Maria Goretti" Hospital, Latina, Italy.
Indian J Nucl Med. 2021 Jan-Mar;36(1):97-99. doi: 10.4103/ijnm.IJNM_43_20. Epub 2021 Mar 4.
Here, we report a case of a 54-year-old woman affected by thyrotoxicosis, with scintigraphic evidence of a diffuse hyperfunctioning goiter and a large ectopic thyroid tissue in the thyroglossal duct remnant. The latter was apparently more active than the two lobes at Tc-pertechnetate scintigraphy, mimicking a condition of preexisting increased sensitivity to thyroid-stimulating hormone stimulation. On the other hand, single-photon emission computed tomography/computed tomography has proven to be a very useful tool in demonstrating this activity to be similar to the thyroid lobes and in defining extension and anatomical relationships of the mass.
在此,我们报告一例54岁患有甲状腺毒症的女性病例,其闪烁扫描显示存在弥漫性高功能甲状腺肿以及甲状舌管残余处有一大块异位甲状腺组织。在锝 - 高锝酸盐闪烁扫描中,后者的活性明显高于双侧叶,这类似于先前存在的对促甲状腺激素刺激敏感性增加的情况。另一方面,单光子发射计算机断层扫描/计算机断层扫描已被证明是一种非常有用的工具,可用于证明该组织的活性与甲状腺叶相似,并确定肿块的范围及其解剖关系。