Papillary thyroid carcinoma - recurrence

Case contributed by Hani Makky Al Salam
Diagnosis certain

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.

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