Accumulation of 131I in Esophageal Diverticulum Diagnosed by SPECT/CT

ABSTRACTA 72-year-old man underwent total thyroidectomy and radioiodine remnant ablation for papillary thyroid cancer in 2016. The posttherapy whole-body scan showed uptake in the neck, classified as residual thyroid tissue. Two years later, the patient came to our observation to perform a second ra...

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Bibliographic Details
Published in:Clinical nuclear medicine 2018-11, Vol.Publish Ahead of Print (11), p.e410-e411
Main Authors: Rizzo, Alessio, Zagaria, Luca, Perotti, Germano, Annunziata, Salvatore, Salvatori, Massimo
Format: Article
Language:English
Subjects:
Aged
Biological Transport
Carcinoma, Papillary - radiotherapy
Carcinoma, Papillary - surgery
Diverticulum, Esophageal - diagnostic imaging
Diverticulum, Esophageal - metabolism
Humans
Iodine Radioisotopes - metabolism
Male
Single Photon Emission Computed Tomography Computed Tomography
Thyroid Cancer, Papillary
Thyroid Neoplasms - radiotherapy
Thyroid Neoplasms - surgery
Thyroidectomy
Whole Body Imaging
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Summary:ABSTRACTA 72-year-old man underwent total thyroidectomy and radioiodine remnant ablation for papillary thyroid cancer in 2016. The posttherapy whole-body scan showed uptake in the neck, classified as residual thyroid tissue. Two years later, the patient came to our observation to perform a second radioiodine therapy for high levels of thyroglobulin. The planar posttherapy scan showed a focal radioiodine area in the neck. SPECT/CT diagnosed a voluminous esophageal diverticulum located in the upper third of the esophagus. A CT performed to discover the source of thyroglobulin excluded locoregional or distant metastases and confirmed the presence of a Zenker diverticulum.
ISSN:0363-9762
1536-0229
DOI:10.1097/RLU.0000000000002263