Papillary thyroid carcinoma - recurrence

Case contributed by Dr Hani Makky Al Salam

Presentation

Known case of papillary thyroid cancer post-ablation therapy.

Patient Data

Age: 70 years
Gender: Male

Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

I131 WB scan

Nuclear medicine

Negative I131 WB scan.

FDG PET/CT

CT

Hight FDG uptake (max SUV >7).

Soft tissue lesion is seen near the thyroidectomy bed, at the tracheo-oesophagal groove.

Case Discussion

I131 WB scan is negative though the patient has high Thyroglobulin (TG) level (2000 ng/mL) suggestive of recurrence or metastasis. The presence of soft tissue nodule at thyroidectomy bed favor recurrent papillary thyroid cancer.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.