Document Detail


False-Positive F-18 FDG PET/CT From Foreign Body Reaction on Anterior Chest Wall After Endoscopic Total Thyroidectomy via Axillo-Breast Approach for Thyroid Cancer: Two Case Reports.
MedLine Citation:
PMID:  21975398     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Endoscopic thyroidectomy is becoming a popular method for the treatment of low-risk micropapillary thyroid cancers. Here, we report 2 cases showing increased uptake on postoperative follow-up FDG PET/CT imaging in the chest wall after endoscopic thyroidectomy via axillo-breast approach without gas insufflations. An ultrasound-guided gun biopsy was performed to rule out metastasis. The histopathology revealed granulomas caused by foreign body reaction, presumably because of the port pressure of the surgical instruments. These lesions are of clinical importance because they can cause misinterpretation of the imaging findings in patients undergoing postoperative FDG PET/CT surveillance for tumor recurrence and can lead to unnecessary treatment.
Authors:
Chan Hee Jung; Bo Yeon Kim; Jae Wook Kim; Seung Won Lee; Jung Ja Kwak; Ji Oh Mok; Chul Hee Kim; Hyun Sook Hong; Sung Koo Kang; Jung Mi Park
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Clinical nuclear medicine     Volume:  36     ISSN:  1536-0229     ISO Abbreviation:  Clin Nucl Med     Publication Date:  2011 Nov 
Date Detail:
Created Date:  2011-10-06     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7611109     Medline TA:  Clin Nucl Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1036-8     Citation Subset:  IM    
Affiliation:
From the *Department of Internal Medicine, Division of Endocrinology and Metabolism, †Department of Nuclear Medicine, ‡Department of Otolaryngology-Head and Neck Surgery, §Department of Pathology, and ¶Department of Radiology, Soonchunhyang University School of Medicine, Bucheon, Korea.
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