Incidental detection of a malignant hurthle cell carcinoma by Tc-99m sestamibi cardiac imaging.
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.
Fisher
C
C
Department of Nuclear Medicine, Terre Haute Center for Medical Education of the Indiana University School of Medicine, Indiana, USA.
Vehec
A
A
Kashlan
B
B
Longa
G
G
Houpt
L
L
Howe
K
K
Stark
L
L
Cavanaugh
D
D
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*
D007457:Iodine Radioisotopes; D019275:Radiopharmaceuticals; D017256:Technetium Tc 99m Sestamibi