131I SPECT/CT Demonstrated Ovarian Endometrioma

Chuang TL, Tzyy-Ling Chuang, Tzyy‐Ling Chuang, Hsu CS, Chun-Shuo Hsu, Chun‐Shuo Hsu, Yuh-Feng Wang, Yuh‐Feng Wang, Wang YF
Clinical nuclear medicine · 2013 · vol. 39(2) , pp. 193–195 · doi:10.1097/rlu.0000000000000306 · PMID:24300362 · W1979419445
article OA: closed CC0 ⤵ 1 in-corpus citation
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This case report describes how 131I SPECT/CT imaging, intended for thyroid cancer follow-up, incidentally detected an ovarian endometrioma in a patient with a history of papillary thyroid carcinoma.

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Abstract

A 44-year-old woman had a history of papillary thyroid carcinoma and underwent total thyroidectomy and I ablation therapy. During the follow-up, 2-mCi I cancer workup showed an unusual shape of uptake in the pelvic region. Hybrid SPECT/CT revealed uptake posterior to the uterus, where sonography showed an 85.4-mm right ovarian endometrioma just corresponding to the location. Laparoscopic salpingo-oophorectomy showed right ovarian endometrioma (7 cm) and left ovarian cyst (4 cm). Pathologic findings showed bilateral endometriosis. After that survey, follow-up I cancer workup showed left supraclavicular, pretracheal, and right hilar metastatic lymphadenopathy with pulmonary metastasis, but no pelvic uptake was noted.

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Condition tags

endometriosisendometrioma

MeSH descriptors

Endometriosis Multimodal Imaging Ovarian Diseases Tomography, Emission-Computed, Single-Photon Tomography, X-Ray Computed Adult Endometriosis Female Humans Iodine Radioisotopes Ovarian Diseases

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References (10)

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License: CC0 · commercial use OK