Accumulation of 131I in Esophageal Diverticulum Diagnosed by SPECT/CT. (November 2018)

• Record Type: Journal Article
• Authors: Rizzo, Alessio; Zagaria, Luca; Perotti, Germano; Annunziata, Salvatore; Salvatori, Massimo
• Is Part Of: Clinical nuclear medicine. Volume 43:Number 11(2018)
• Publication Date: 2018-11
• Subjects: radioiodine -- SPET/CT -- thyroid cancer -- Zenker diverticulum; Nuclear medicine -- Periodicals; Radioisotope scanning -- Periodicals; Nuclear Medicine -- Periodicals; 616.07575
• DOI: 10.1097/RLU.0000000000002263
• Languages: English
• ISSNs: 0363-9762

Abstract

Abstract : Abstract: A 72-year-old man underwent total thyroidectomy and radioiodine remnant ablation for papillary thyroid cancer in 2016. The posttherapy whole-body scan showed uptake in the neck, classified as residual thyroid tissue. Two years later, the patient came to our observation to perform a second radioiodine therapy for high levels of thyroglobulin. The planar posttherapy scan showed a focal radioiodine area in the neck. SPECT/CT diagnosed a voluminous esophageal diverticulum located in the upper third of the esophagus. A CT performed to discover the source of thyroglobulin excluded locoregional or distant metastases and confirmed the presence of a Zenker diverticulum.