Incidental Thyroid Nodule Noted on Intra-arterial Hepatic MAA Scan Before 90Y-SIRT

Clin Nucl Med. 2017 Aug;42(8):641-642. doi: 10.1097/RLU.0000000000001690.

Abstract

We report a case of a 61-year-old man who had recurrent hepatocellular carcinoma admitted for series evaluation before Y selective internal radiotherapy (SIRT). Intra-arterial hepatic Tc macroaggregated albumin scan before Y-SIRT revealed a 2.7-cm incidental low-density thyroid nodule with hot uptake. TcO4 scan revealed corresponding hot uptake in the thyroid nodule with near background uptake of normal thyroid tissue, favored autonomous nodule. After Y-microsphere SIRT, bremstrallung imaging revealed no Y-microsphere deposition to thyroid.

Publication types

  • Case Reports

MeSH terms

  • Hepatic Artery / diagnostic imaging*
  • Humans
  • Incidental Findings*
  • Male
  • Microspheres
  • Middle Aged
  • Single Photon Emission Computed Tomography Computed Tomography*
  • Technetium Tc 99m Aggregated Albumin* / chemistry
  • Thyroid Nodule / blood supply
  • Thyroid Nodule / diagnostic imaging*
  • Thyroid Nodule / radiotherapy*
  • Yttrium Radioisotopes / therapeutic use*

Substances

  • Technetium Tc 99m Aggregated Albumin
  • Yttrium Radioisotopes