Unusual Presentation of Hurthle Cell Carcinoma With TENIS Syndrome as Left Atrial Thrombus on 18F-FDG PET/CT. (October 2018)

• Record Type: Journal Article
• Authors: Sood, Apurva; Parihar, Ashwin Singh; Sood, Ashwani; Kumar, Rajender; Prakash, Gaurav; Singhal, Manphool; Gulati, Ajay; Mittal, Bhagwant Rai; Bahl, Ajay; Singh, Shashank
• Is Part Of: Clinical nuclear medicine. Volume 43:Number 10(2018)
• Publication Date: 2018-10
• Subjects: TENIS -- left atrial thrombus -- differentiated thyroid cancer -- occipital bleed -- Hurthle cell carcinoma; Nuclear medicine -- Periodicals; Radioisotope scanning -- Periodicals; Nuclear Medicine -- Periodicals; 616.07575
• DOI: 10.1097/RLU.0000000000002224
• Languages: English
• ISSNs: 0363-9762

Abstract

Abstract : Abstract: Differentiated thyroid cancer (DTC) with thyroglobulin elevation and negative 131 I scintigraphy (TENIS) syndrome is a diagnostic and therapeutic dilemma. Treatment of differentiated thyroid cancer has an excellent outcome, but treatment options in TENIS are limited with the exception of surgically amenable disease. We present a case of TENIS syndrome with incidental detection of tumor thrombus in right pulmonary vein extending to the left atrium on 18 F-FDG PET/CT and subsequently complicating as an occipital bleed. The timely detection of the thrombus facilitated early initiation of anticoagulant therapy. However, the intracranial bleed precluded the continuation of anticoagulant therapy.