Adrenocortical Oncocytic Carcinoma and Papillary Thyroid Carcinoma Incidentally Detected in an Asymptomatic Patient by F-18 FDG PET/CT | ||
Asia Oceania Journal of Nuclear Medicine and Biology | ||
مقاله 14، دوره 6، شماره 2، مهر 2018، صفحه 179-185 اصل مقاله (1.84 M) | ||
نوع مقاله: Case report | ||
شناسه دیجیتال (DOI): 10.22038/aojnmb.2018.10845 | ||
نویسندگان | ||
Batool Al Balooshi* 1؛ Shabna Miyanath1؛ Amr Elhennawy1؛ yaser Saeedi2؛ Syed Hammad Tirmazy3؛ Muhammed Muhasin4؛ Bhavna Ray1؛ Mouza Al Sharhan5؛ Hassan Hotait5؛ Yamina Houcinat6؛ Tasnim Keloth5 | ||
1Dubai nuclear Medicine and Molecular imaging Center, Dubai Hospital, Dubai Health Authority, Dubai-UAE | ||
2Department of Urology, Dubai Hospital, Dubai Health Authority, Dubai-UAE | ||
3Department of Oncology, Dubai Hospital, Dubai Health Authority, Dubai-UAE | ||
4Dubai Nuclear Medicine and Molecular imaging Center, Dubai Hospital, Dubai Health Authority, Dubai-UAE | ||
5Department of Pathology and Genetics, Dubai Hospital, Dubai Health Authority, Dubai, UAE | ||
6Department of Pathology and genetics, Dubai hospital, Dubai Heath Authority, Dubai, UAE | ||
چکیده | ||
F-18 FDG is the most widely used tracer in molecular imaging and it is applied for many purposes mainly in malignant diseases. Incidental finding are common in FDG-PET/CT imaging and includes benign and malignant lesions. Among the rare tumors , adrenal oncocytomas are uncommon findings and incidental findings of thyroid malignancies are not rare. Oncocytoma is a rare adrenocortical tumor and majority of bulky adrenal tumors are benign with uncertain incident of malignancy. In this study, we are reporting a 37-year-old man with two incidental malignancies detected by FDG-PET-CT. He has no symptoms has no blood and hormonal abnormalities. The scan demonstrated intense heterogeneous FDG uptake within the bulky oval shaped lesion in the left adrenal gland. Accordingly, open adrenalectomy was performed and diagnosis of adrenocortical carcinoma oncocytic type was established. Furthermore, a focal FDG uptake was identified in the right thyroid lobe and histopathology findings were consistent with well-differentiated papillary thyroid cancer. FDG plays a great role in identifying primary rare lesions and also detection of incidental findings at unexpected sites. | ||
کلیدواژهها | ||
F-18 FDG؛ adrenal mass؛ adrenocortical carcinoma؛ thyroid carcinoma, adrenal oncocytoma | ||
مراجع | ||
10. Ginzburg S, Reddy M, Veloski C, Sigurdson E, Ridge JA, Azrilevich M, et al. Papillary thyroid carcinoma metastases presenting as ipsilateral adrenal mass and renal cyst. Urol Case Rep. 2015;3(6):221-2.
11. Koutkia P, Safer JD. Adrenal metastasis secondary to papillary thyroid carcinoma. Thyroid. 2001;11(11):1077-9.
12. Yun M, Kim W, Alnafisi N, Lacorte L, Jang S, Alavi A. 18F-FDG PET in characterizing adrenal lesions detected on CT or MRI. J Nucl Med. 2001; 42(12):1795-9.
13. Launay N, Silvera S, Tenenbaum F, Groussin L, Tissier F, Audureau E, et al. Value of 18-F-FDG PET/CT and CT in the diagnosis of indeterminate adrenal masses. Int J Endocrinol. 2015;2015:213875.
14. Bertagna F, Treglia G, Piccardo A, Giovannini E, Bosio G, Biasiotto G, et al. F18-FDG-PET/CT thyroid incidentalomas: a wide retrospective analysis in three Italian centres on the significance of focal uptake and SUV value. Endocrine. 2013;43(3):678-85.
15. Algin E, Uner A, Akdemir UO, Gumusay O, Kapucu O, Ozet A. The assessment of incidental thyroid lesions on 18F-fluorodeoxyglucose positron emission tomography/computed tomography: A single center experience. J Oncol Sci. 2017;3(2):57-61.
16. Nockel P, Millo C, Keutgen X, Klubo-Gwiezdzinska J, Shell J, Patel D, et al. The rate and clinical significance of incidental thyroid uptake as detected by gallium-68 DOTATATE positron emission tomography/computed tomography. Thyroid. 2016;26(6):831-5. | ||
آمار تعداد مشاهده مقاله: 1,390 تعداد دریافت فایل اصل مقاله: 657 |