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題 名 | Unusual Imaging Patterns in a Thyroidectomized Papillary Thyroid Cancer Patient with Nodal Involvement: A Case Report and Literature Review=乳突型甲狀腺癌合併淋巴結侵犯的非尋常影像:病例報告與文獻回顧 |
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作 者 | 楊朝瑋; 吳清俊; 林奉儒; 鄭澄意; 陳慶元; 王連嚴; 黃文盛; | 書刊名 | Annals of Nuclear Medicine and Molecular Imaging |
卷 期 | 27:3 2014.09[民103.09] |
頁 次 | 頁197-204 |
分類號 | 415.931 |
關鍵詞 | 去氧葡萄糖正子造影; 淋巴結侵犯; 乳突型甲狀腺癌; 陀-201; 超音波; FDG PET; Nodal involvement; Papillary thyroid cancer; Thallium-201; Ultrasonography; |
語 文 | 英文(English) |
中文摘要 | 頸部超音波與碘-131掃描對分化型甲狀腺癌分別具有高靈敏度與特異性而鉈-201的攝取則可反應腫瘤增生活性度。就分化型甲狀腺癌合併淋巴結侵犯的影像發現而言,卻不必然和上述理論一樣具一致性,這也反應腫瘤生物學的異質性。我們報告一位患有分化型甲狀腺癌的年輕女性,術後早期陀-201檢查呈現頸部淋巴結攝取,但於延遲期消失,頸部超音波只在甲促素升高時呈陽性;碘-131掃描在甲狀腺殘留及受犯淋巴結均呈陽性而在氟-18去氧葡萄糖正子撿查時,上述兩者皆呈陰性。患者經碘-131治療反應良好,追蹤五年未見復發或轉移,因此;單以早期陀-201檢查呈現異常攝取不必然代表不良預後,多模式檢查的介入有助腫瘤生物異質性的瞭解並依此進行適切的治療。 |
英文摘要 | Thallium-201 (Tl-201) uptake correlates well with tumor proliferative activity, whereas ultrasonography and I-131 imaging are highly sensitive and specific respectively in detecting malignant thyroid foci. The image patterns in patients with cervical nodal involvement of differentiated thyroid cancer (DTC); however, might be unnecessarily consistent reflecting heterogeneity of the tumor biology. We present here, a younger woman with DTC, after thyroidectomy, with positive nodal uptake in the early Tl-201 scan, but negative in the delayed view. Neck sonography only revealed the positive node in TSH stimulated status. I-131 imaging showed positive in both thyroid remnant and involved node, and both negative on the F-18 FDG PET. The early increase of Tl-201 uptake might be unnecessarily indicated as a poor prognosis. The patient had excellent response to I-131 treatment showing no evidence of disease after 5 years of continuous follow-up. |
本系統中英文摘要資訊取自各篇刊載內容。