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Unusual breast radioiodine uptake in a nonbreastfeeding woman with papillary thyroid carcinoma

Yassir Benameur, Hasnae Guerrouj, Salah Nabih Oueriagli,Omar Ait Sahel, Imad Ghfir, Nouzha Ben Ras Aouad.

Abstract
Background: A 48-yearold woman underwent total thyroidectomy for a multinodular goiter. Histopathological examination revealed papillary thyroid carcinoma. The patient was referred to the nuclear medicine department for ablative dose of iodine-131 iodine (3.7 GBq) and post therapy radioiodine scan. Thyroglobulin level was at 11 ng/ml. Procedure: Planar whole-body radioiodine scintigraphy was performed in the anterior and posterior projections 5 days after the ablative dose of 131I. Single-photon emission computed tomography (SPECT-CT) was additionally performed for anatomical localization of the thoracic radioiodine-avid foci. Findings: The whole-body radioiodine scan revealed cervical radioiodine uptake, in relation to a post-surgical residue. The scan also showed two quasisymmetrical thoracic radioiodine-avid foci located probably outside the pulmonary fields (Figure 1). On the SPECT-CT scan these thoracic foci of radioiodine uptake were seen to correspond to uptake in both breasts (Figure 2). Conclusion: Whole-body scintigraphy after 131I ablation showed unusual bilateral focal uptake in the breasts in a patient with papillary thyroid carcinoma. This appears to be a rare case of falsepositive uptake in a non lactating woman. Comments: The knowledge of the usual sites of radioiodine concentration in the body is essential for the correct interpretation of the whole-body scintigraphy. However, the real pitfall in the correct diagnosis is concentration of 131I in a lesser known site.


 
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Pubmed Style

Yassir Benameur, Hasnae Guerrouj, Salah Nabih Oueriagli,Omar Ait Sahel, Imad Ghfir, Nouzha Ben Ras Aouad. Unusual breast radioiodine uptake in a nonbreastfeeding woman with papillary thyroid carcinoma. Pak J Nucl Med. 2017; 7(1): 51-52. doi:10.24911/PJNMed.7.11


Web Style

Yassir Benameur, Hasnae Guerrouj, Salah Nabih Oueriagli,Omar Ait Sahel, Imad Ghfir, Nouzha Ben Ras Aouad. Unusual breast radioiodine uptake in a nonbreastfeeding woman with papillary thyroid carcinoma. http://www.pjnmed.com/?mno=302244 [Access: November 17, 2018]. doi:10.24911/PJNMed.7.11


AMA (American Medical Association) Style

Yassir Benameur, Hasnae Guerrouj, Salah Nabih Oueriagli,Omar Ait Sahel, Imad Ghfir, Nouzha Ben Ras Aouad. Unusual breast radioiodine uptake in a nonbreastfeeding woman with papillary thyroid carcinoma. Pak J Nucl Med. 2017; 7(1): 51-52. doi:10.24911/PJNMed.7.11



Vancouver/ICMJE Style

Yassir Benameur, Hasnae Guerrouj, Salah Nabih Oueriagli,Omar Ait Sahel, Imad Ghfir, Nouzha Ben Ras Aouad. Unusual breast radioiodine uptake in a nonbreastfeeding woman with papillary thyroid carcinoma. Pak J Nucl Med. (2017), [cited November 17, 2018]; 7(1): 51-52. doi:10.24911/PJNMed.7.11



Harvard Style

Yassir Benameur, Hasnae Guerrouj, Salah Nabih Oueriagli,Omar Ait Sahel, Imad Ghfir, Nouzha Ben Ras Aouad (2017) Unusual breast radioiodine uptake in a nonbreastfeeding woman with papillary thyroid carcinoma. Pak J Nucl Med, 7 (1), 51-52. doi:10.24911/PJNMed.7.11



Turabian Style

Yassir Benameur, Hasnae Guerrouj, Salah Nabih Oueriagli,Omar Ait Sahel, Imad Ghfir, Nouzha Ben Ras Aouad. 2017. Unusual breast radioiodine uptake in a nonbreastfeeding woman with papillary thyroid carcinoma. Pakistan Journal of Nuclear Medicine, 7 (1), 51-52. doi:10.24911/PJNMed.7.11



Chicago Style

Yassir Benameur, Hasnae Guerrouj, Salah Nabih Oueriagli,Omar Ait Sahel, Imad Ghfir, Nouzha Ben Ras Aouad. "Unusual breast radioiodine uptake in a nonbreastfeeding woman with papillary thyroid carcinoma." Pakistan Journal of Nuclear Medicine 7 (2017), 51-52. doi:10.24911/PJNMed.7.11



MLA (The Modern Language Association) Style

Yassir Benameur, Hasnae Guerrouj, Salah Nabih Oueriagli,Omar Ait Sahel, Imad Ghfir, Nouzha Ben Ras Aouad. "Unusual breast radioiodine uptake in a nonbreastfeeding woman with papillary thyroid carcinoma." Pakistan Journal of Nuclear Medicine 7.1 (2017), 51-52. Print. doi:10.24911/PJNMed.7.11



APA (American Psychological Association) Style

Yassir Benameur, Hasnae Guerrouj, Salah Nabih Oueriagli,Omar Ait Sahel, Imad Ghfir, Nouzha Ben Ras Aouad (2017) Unusual breast radioiodine uptake in a nonbreastfeeding woman with papillary thyroid carcinoma. Pakistan Journal of Nuclear Medicine, 7 (1), 51-52. doi:10.24911/PJNMed.7.11





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