Unusual spread of the follicular thyroid carcinoma, metastases to liver and pancreas Propagation inhabituelle du carcinome folliculaire de la thyroïde, métastases au foie et au pancréas


Babacan G., KARYAĞAR S., Saraçoğlu S., Sağlampınar Karyağar S., Ekmekçioğlu Ö.

Medecine Nucleaire, cilt.47, sa.4, ss.208-210, 2023 (SCI-Expanded, Scopus)

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 47 Sayı: 4
  • Basım Tarihi: 2023
  • Doi Numarası: 10.1016/j.mednuc.2023.03.010
  • Dergi Adı: Medecine Nucleaire
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.208-210
  • Anahtar Kelimeler: Theranostics, Follicular thyroid cancer, Liver metastasis, Pancreas metastasis
  • Sağlık Bilimleri Üniversitesi Adresli: Evet

Özet

We report a multimetastatic follicular thyroid carcinoma(FTC) with match lesions between 18F-FDG PET/CT and post-treatment 131I imaging. The patient had a history of thoracic vertebra corpectomy surgery and liver tru-cut biopsy; both resulted in metastases of FTC. After total thyroidectomy surgery, the patient was referred to the 18F-FDG PET/CT to investigate other possible metastatic foci. 18F-FDG PET/CT showed increased FDG uptakes on a cervical lymph node, bones, lung, liver, and pancreas. After treatment of 131I, post-treatment iodine scintigraphy demonstrated iodine uptakes in the same areas as the 18F-FDG PET/CT scan and at the thyroid bed. All the matched lesions were concluded as a spread of the FTC. Here we describe an infrequent differentiated thyroid carcinoma case with metastases to the liver and pancreas. This case report also highlights the importance of 18F-FDG PET/CT in determining the extent of thyroid cancer.