Download PDF
Nuklearmedizin 1977; 16(05): 241-244
DOI: 10.1055/s-0037-1620637
Originalarbeiten – Original Articles
Schattauer GmbH

Multiform Thyroid Cancer – Scintigraphic and Echographic Features

G. T. Krishnamurthy
1   Staff Physician, Nuclear Medicine Service, VA Wadsworth Hospital Center; and Associate Professor of Medicine, UCLA School of Medicine
6   From the Nuclear Medicine, Laboratory and Research Services, Veterans Administration Wadsworth Hospital Center, and the UCLA School of Medicine, Los Angeles, Calif., USA
,
M. A. Winston
2   Assistant Chief, Nuclear Medicine Service, VA Wadsworth Hospital Center; and Assistant Professor of Medicine, UCLA School of Medicine
6   From the Nuclear Medicine, Laboratory and Research Services, Veterans Administration Wadsworth Hospital Center, and the UCLA School of Medicine, Los Angeles, Calif., USA
,
K. A. Ranganath
3   Staff Pathologist, Laboratory Service, VA Wadsworth Hospital Center; and Assistant Professor of Pathology, UCLA School of Medicine
6   From the Nuclear Medicine, Laboratory and Research Services, Veterans Administration Wadsworth Hospital Center, and the UCLA School of Medicine, Los Angeles, Calif., USA
,
J. H. Pritchard
4   Staff Physician, Nuclear Medicine Service, VA Wadsworth Hospital Center
6   From the Nuclear Medicine, Laboratory and Research Services, Veterans Administration Wadsworth Hospital Center, and the UCLA School of Medicine, Los Angeles, Calif., USA
,
W. H. Blahd
5   Chief, Nuclear Medicine Service, VA Wadsworth Hospital Center; and Professor of Medicine, UCLA School of Medicine
6   From the Nuclear Medicine, Laboratory and Research Services, Veterans Administration Wadsworth Hospital Center, and the UCLA School of Medicine, Los Angeles, Calif., USA
› Author Affiliations
Further Information

Publication History

Received:21 April 1977

Publication Date:
12 January 2018 (online)

Also available at
    Permissions and Reprints

Summary

In a patient with multinodular goiter, one of the three solid nodules harboring follicular carcinoma appeared functional in the 99mTc-pertechnetate image, yet “cystic” in both A- and B-mode echogram studies. The other two nodules corresponded in their image and echogram features and contained papillary and anaplastic carcinomas, and Hashimoto's thyroiditis. Clinical acumen proved to be the best guide in the management of this patient.

 

  • References

  • 1 Allen Jr H. C, Libby R. L, Cassen B. The scintillation counter in clinical studies of human thyroid physiology using I-131. J. Clin. Endocr 11: 492-511 1951;
    CrossrefPubMedSearch in Google Scholar
  • 2 Atkins H. L, Richards P. Assessment of thyroid function and anatomy with technetium-99m as pertechnetate. J. nucl, Med 9: 7-15 1968;
    PubMedSearch in Google Scholar
  • 3 Mishkin M, Rosen I. B, Walfish P. G. B-mode ultrasonography in assessment of thyroid gland lesions. Ann. Intern. Med 79: 505-510 1973;
    CrossrefPubMedSearch in Google Scholar
  • 4 Blum M, Goldman A. B, Herskovic A, Hernberg J. Clinical applications of thyroid echography. New Engl. J. Med 287: 1164-1169 1972;
    CrossrefPubMedSearch in Google Scholar
  • 5 Quinn J. L.III., Brand W. N. Pertechnetate-99m thyroid scans obtained incidental to brain scans. J. nucl. Med 8: 481-486 1967;
    PubMedSearch in Google Scholar
  • 6 Atkins H. L. Clinical Scintillation Imaging. M. Freeman and Johnson (eds.), 2nd edition Grune and Stratton; New York: 1975. pp 671-707.
    Search in Google Scholar
  • 7 Usher M. S, Arzaumanian N. G. Thyroid nodule scans made with pertechnetate and iodine may give inconsistent results. J. nucl. Med 12: 136-137 1971;
    PubMedSearch in Google Scholar
  • 8 Schall G. L, Roth J. A, Temple R. Differential uptake of I-125 and 99mTc04 in a histologically unusual metastatic carcinoma. J. Surg. Oncol 5: 235-242 1973;
    CrossrefPubMedSearch in Google Scholar
  • 9 Hirabayashi S, Koga Y, Kitahara T, Hishida T, Kiga M, Iino S. Inconsistent images of thyroid nodule scintigrams made with iodine and pertechnetate: Case report. J. nucl. Med 16: 918 1975;
    PubMedSearch in Google Scholar
  • 10 Turner J. W, Spencer R.P. Thyroid carcinoma presenting as a pertechnetate “hot” nodule, but without 131I uptake: Case report. J. nucl. Med 17: 22-23 1976;
    PubMedSearch in Google Scholar
  • 11 Nishiyama R. H, Dunn E. L, Thompson N.W. Anaplastic spindle cell and giant cell tumors of the thyroid gland. Cancer 30: 113-127 1972;
    CrossrefPubMedSearch in Google Scholar
  • 12 Hauser W, Atkins H. L, Eckelman W. C, Richards P. Thyroidal pertechnetate uptake in Hashimoto’s disease. Amer. J. Roentgen 112: 720-725 1971;
    CrossrefPubMedSearch in Google Scholar
  • 13 Lindsay S, Dailey M. E, Friedlander J, Yee G, Soley J. H. Chronic thyroiditis - A clinical and pathological study of 354 patients. J. Clin. Endocr 12: 1578-1581 1952;
    CrossrefPubMedSearch in Google Scholar
  • 14 Volpe R. Chronic Thyroiditis. In: The Throid Werner S. C, Ingbar S. H. (eds.), 3rd edition Harper and Row; New York: 1971
    Search in Google Scholar