Intenzo C M, Park C H, Kim S M
Department of Radiation Oncology and Nuclear Medicine, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania 19107, USA.
Clin Nucl Med. 1995 Mar;20(3):203-5. doi: 10.1097/00003072-199503000-00002.
Hyperfunctioning thyroid adenomas causing thyrotoxicosis (Plummer's disease) is not an uncommon cause of hyperthyroidism in the elderly. Most commonly, the adenoma appears as a so-called "hot" nodule on thyroid scintigraphy causing suppression (i.e., nonvisualization) of the remainder of the gland. This report describes a case of Plummer's disease in an elderly patient in whom the toxic nodule primarily responsible for causing the hyperthyroidism became scintigraphically apparent at 96 hours after I-131 therapeutic ablation.
导致甲状腺毒症的高功能甲状腺腺瘤(普拉默病)是老年人甲状腺功能亢进的常见病因。最常见的情况是,腺瘤在甲状腺闪烁扫描中表现为所谓的“热”结节,导致腺体其余部分受到抑制(即不显影)。本报告描述了一例老年普拉默病患者,其导致甲状腺功能亢进的毒性结节在I-131治疗性消融后96小时在闪烁扫描中才明显显现。