title: Incidental detection of a malignant hurthle cell carcinoma by Tc-99m sestamibi cardiac imaging.
abstract: A 60-year-old man reported chest pain and shortness of breath. His medical history was negative for myocardial infarction but positive for "mini strokes" and type 2 diabetes mellitus. Tc-99m sestamibi cardiac imaging revealed an abnormal focus of increased activity in the left lobe of the thyroid. Although no cardiac abnormalities were found, a I-123 thyroid scan subsequently showed a solitary hypofunctioning nodule involving the middle and inferior aspects of the left lobe of the thyroid, which fine-needle aspiration proved was a Hurthle cell carcinoma.
authors.affiliation: Department of Nuclear Medicine, Terre Haute Center for Medical Education of the Indiana University School of Medicine, Indiana, USA.
authors.forename: C
authors.initials: C
authors.lastname: Fisher
authors.forename: A
authors.initials: A
authors.lastname: Vehec
authors.forename: B
authors.initials: B
authors.lastname: Kashlan
authors.forename: G
authors.initials: G
authors.lastname: Longa
authors.forename: L
authors.initials: L
authors.lastname: Houpt
authors.forename: K
authors.initials: K
authors.lastname: Howe
authors.forename: L
authors.initials: L
authors.lastname: Stark
authors.forename: D
authors.initials: D
authors.lastname: Cavanaugh
mesh_terms: D000230:Adenocarcinoma / Q000000981:diagnostic imaging*; D001707:Biopsy, Needle; D006321:Heart / Q000000981:diagnostic imaging*; D006801:Humans; D007457:Iodine Radioisotopes; D008297:Male; D008875:Middle Aged; D011877:Radionuclide Imaging; D019275:Radiopharmaceuticals; D017256:Technetium Tc 99m Sestamibi; D013964:Thyroid Neoplasms / Q000000981:diagnostic imaging*; D016606:Thyroid Nodule / Q000000981:diagnostic imaging*
chemical_list: D007457:Iodine Radioisotopes; D019275:Radiopharmaceuticals; D017256:Technetium Tc 99m Sestamibi