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Functioning liver metastases on an I-131 whole-body scan: a case of malignant struma ovarii
- Source :
- Clinical nuclear medicine. 25(6)
- Publication Year :
- 2000
-
Abstract
- A 46-year-old women was examined for severe constipation. Pelvic examination revealed a large pelvic mass extending to the level of the umbilicus. Computed tomography showed a large multicystic, septated mass in the pelvis and a small amount of fluid in the cul de sac. In addition, multiple ill-defined, mixed-attenuation hepatic lesions were identified. A malignant ovarian neoplasm with liver metastases was considered, so the pelvic mass was resected. Interestingly, histopathologic analysis revealed malignant struma ovarii of the follicular type. Biopsy of the liver lesions confirmed metastatic disease with similar histopathologic findings. All thyroid laboratory values were in the normal range. The patient then had a total thyroidectomy to optimize thyroid ablation therapy with I-131. This revealed a small follicular adenoma but no evidence of cancer. An I-131 whole-body scan was performed and showed uptake in multiple functioning liver metastases.
- Subjects :
- Adenoma
medicine.medical_specialty
Umbilicus (mollusc)
Iodine Radioisotopes
Neoplasms, Multiple Primary
Biopsy
medicine
Humans
Radiology, Nuclear Medicine and imaging
Thyroid Neoplasms
Radionuclide Imaging
Pelvic examination
Pelvis
Ovarian Neoplasms
medicine.diagnostic_test
business.industry
Malignant Ovarian Neoplasm
Thyroid
Liver Neoplasms
General Medicine
Malignant Struma Ovarii
Middle Aged
medicine.disease
Struma Ovarii
medicine.anatomical_structure
Female
Radiology
Radiopharmaceuticals
business
Whole-Body Irradiation
Subjects
Details
- ISSN :
- 03639762
- Volume :
- 25
- Issue :
- 6
- Database :
- OpenAIRE
- Journal :
- Clinical nuclear medicine
- Accession number :
- edsair.doi.dedup.....8ce8a3368dbc0abccf44cd3243999465