Apparently Benign 131I Adrenal Uptake

Author:

Travaglio Morales Daniela1,Kreissl Michael C.2,Fischer Florian1,Heinzel Alexander1

Affiliation:

1. Nuclear Medicine Department, University Hospital Halle, Halle (Saale)

2. Division of Nuclear Medicine, Department of Radiology and Nuclear Medicine, University Hospital Magdeburg, Magdeburg, Germany.

Abstract

Abstract A 60-year-old man suffering from papillary thyroid cancer (pT2 pN0(0/21) cM0) underwent diagnostic 131I whole-body scintigraphy with recombinant thyroid-stimulating hormone for follow-up after thyroidectomy and adjuvant 131I therapy with 4.2 GBq. A focal uptake of radioiodine was found in the right adrenal gland, which had not been seen on the initial posttherapeutic images; therefore, an adrenal metastasis was suspected. However, the diagnostic workup including contrast-enhanced MRI as well as endocrine laboratory tests indicated a benign etiology showcasing a very rare case of false-positive radioiodine uptake in the adrenal gland. The imaging follow-up after 1 year showed no significant changes.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Reference9 articles.

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