Panza N, Mansi L, Pacilio C, Lombardi G
Unit of Immunological and Endocrinological Oncology, Cardarelli Hospital, Naples, Italy.
Q J Nucl Med. 1995 Jun;39(2):116-8.
A 55-year-old woman with total situs inversus viscerum was subjected to total thyroidectomy for a well-differentiated follicular thyroid carcinoma. After surgery the patient remained euthyroid for two months and serum TSH did not rise. A whole body scan with iodine-131 (131I) showed mediastinal uptake. A chest computed tomography visualized a sequestered substernal goiter. Upon the patient's refusal to undergo surgery, she was treated with 150 mCi of 131I. A further dose of 100 mCi of 131I was administered six months later. Ten years after treatment, the patient is still alive and disease-free.
一名55岁的完全性内脏反位女性因分化良好的滤泡状甲状腺癌接受了全甲状腺切除术。术后患者甲状腺功能正常维持了两个月，血清促甲状腺激素未升高。碘-131（131I）全身扫描显示纵隔有摄取。胸部计算机断层扫描显示有一个胸骨后隐匿性甲状腺肿。由于患者拒绝接受手术，遂给予150毫居里的131I治疗。六个月后又给予了100毫居里的131I。治疗十年后，患者仍然存活且无疾病。
