Pelvic radioiodine uptake in a rectal wall teratoma after thyroidectomy for papillary carcinoma.
A 30-yr-old woman with previously resected papillary thyroid carcinoma was found to have a pelvic lesion which concentrated radioiodine. By performing simultaneous 131I whole-body and 99mTc-methylene diphosphonate bone scans, we found the lesion to be in soft tissue between the sacrum and bladder. Radioiodine therapy was postponed so that the lesion, a benign teratoma of the rectal wall, could be surgically removed. Prior to laparotomy, the patient received a second tracer dose of 131I so that the lesion could be located at surgery with a hand-held gamma detector. A postoperative whole-body 131I scan confirmed that the lesion had been removed, thus reducing the absorbed radiation that would have been received by the ovaries during radioiodine therapy. Although the lesion contained both thyroid and gastric epithelium, accumulated 131I was limited to the area with thyroid follicles.
Lakshmanan
M
M
Clinical Endocrinology Branch, National Institute of Diabetes and Digestive and Kidney Diseases, NIH, Bethesda, MD 20892.
Reynolds
J C
JC
Del Vecchio
S
S
Merino
M J
MJ
Norton
J A
JA
Robbins
J
J
D000328:Adult; D001842:Bone and Bones / Q000000981:diagnostic imaging; D002291:Carcinoma, Papillary / Q000601:surgery*; D003884:Dermoid Cyst / Q000000981:diagnostic imaging*; D005260:Female; D006801:Humans; D007430:Intraoperative Care; D007457:Iodine Radioisotopes; D009378:Neoplasms, Multiple Primary / Q000000981:diagnostic imaging*; D011877:Radionuclide Imaging; D012004:Rectal Neoplasms / Q000000981:diagnostic imaging*; D012811:Sigmoid Neoplasms / Q000000981:diagnostic imaging*; D013669:Technetium Tc 99m Medronate; D013964:Thyroid Neoplasms / Q000601:surgery*; D013965:Thyroidectomy
D007457:Iodine Radioisotopes; D013669:Technetium Tc 99m Medronate