Lung Metastases From Thyroid Cancer

Patel, Nick; Hiltzik, Yuval; Margouleff, Donald; Bjelke, David; Studentsova, Yana; Talwar, Arunabh

doi:10.1097/cpm.0b013e31815077a8

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2012

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“…described this flip-flop phenomenon in two contrasting cases of lung metastases from thyroid cancer illustrating the growing role of FDG-PET scans in the evaluation and management of patients with thyroid carcinomas. [ 13 ] Zettinig et al . reported 18 F-FDG PET, 99m Tc-MIBI, and radioiodine imaging features in a 63-year-old patient with metastatic insular thyroid carcinoma.…”

Section: Discussionmentioning

confidence: 99%

Incidental detection of hyperfunctioning thyroid cancer metastases in patients presenting with thyrotoxicosis

Damle

Bal

Kumar

et al. 2012

Indian J Endocr Metab

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Thyrotoxicosis due to functioning metastases from thyroid cancer is rare. It also presents a therapeutic challenge, as both the metastatic cancer and thyrotoxicosis need to be treated. We present here two cases of thyrotoxicosis which on a routine 99mTc-pertechnetate thyroid scan showed extrathyroidal foci of uptake. Two patients who initially presented with thyrotoxicosis underwent a routine thyroid scan. Abnormal uptake in the shoulder was incidentally noted, which prompted us to do a whole body pertechnetate scan in the same sitting, which revealed extensive hyperfunctioning metastases in the lungs and bones. We also discuss the ‘Flip Flop’ phenomenon in thyroid cancer, which was seen in our case. This report emphasizes the importance of evaluating the abnormal foci of uptake seen on a routine thyroid scan.

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Section: Discussionmentioning

confidence: 99%