| Incidental thyroid "PETomas": clinical significance and novel description of the self-resolving variant of focal FDG-PET thyroid uptake. | |
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MedLine Citation:
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PMID: 21251421 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Recent series of incidental thyroid activity on fluorodeoxyglucose positron emission tomography (FDG-PET) in patients evaluated for nonthyroidal malignancy, which we refer to as a "PEToma," have suggested that such lesions are associated with a significant incidence of primary thyroid cancer. METHODS: We retrospectively reviewed 6457 FDG-PET scans performed on 4726 patients from May 2004 to March 2007. We reviewed the cases of patients whose PET or computed tomography (CT) radiology reports described PET uptake within the thyroid to identify incidence and malignant potential of PETomas and evaluate their clinical and histopathologic features. RESULTS: We found that 160 patients (3.4%) had incidental, abnormal FDG uptake in the thyroid gland, 103 of whom had focal uptake (the PEToma group). Of these patients, 50 (48%) underwent further investigations, including ultrasonography in 48, fine-needle aspiration cytology in 38 and computed tomography in 3. Ten patients underwent surgery, and papillary thyroid cancer was identified in 9. The remaining 53 patients with PETomas underwent no further investigation. Interestingly, 5 patients who had focal uptake within the thyroid showed either spontaneous resolution on repeat FDG-PET (self-resolving) or no focal lesion on subsequent ultrasonography (false-positive). CONCLUSION: The incidence of papillary thyroid cancer in the present series is similar to that in the literature. Although some patients will show self-resolving or false-positive focal thyroid uptake on FDG-PET, we believe that, if the patient's clinical status permits, the evaluation of patients with incidental thyroid PEToma should include ultrasonographic confirmation and fine-needle aspiration cytology. |
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Authors:
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Hidefumi Nishimori; Roger Tabah; Marc Hickeson; Jacques How |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Canadian journal of surgery. Journal canadien de chirurgie Volume: 54 ISSN: 1488-2310 ISO Abbreviation: Can J Surg Publication Date: 2011 Apr |
Date Detail:
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Created Date: 2011-03-29 Completed Date: 2011-06-07 Revised Date: 2011-08-01 |
Medline Journal Info:
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Nlm Unique ID: 0372715 Medline TA: Can J Surg Country: Canada |
Other Details:
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Languages: eng Pagination: 83-8 Citation Subset: IM |
Copyright Information:
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© 2011 Canadian Medical Association |
Affiliation:
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Division of Surgical Oncology, McGill University Health Centre, Montréal, Que., Canada. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Biopsy, Fine-Needle Carcinoma, Papillary / pathology, radionuclide imaging*, ultrasonography Female Fluorodeoxyglucose F18 / diagnostic use Humans Incidental Findings* Male Middle Aged Positron-Emission Tomography* Radiopharmaceuticals / diagnostic use Retrospective Studies Thyroid Neoplasms / pathology, radionuclide imaging*, ultrasonography |
| Chemical | |
Reg. No./Substance:
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0/Radiopharmaceuticals; 63503-12-8/Fluorodeoxyglucose F18 |
| Comments/Corrections | |
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