Author/Editor     Gueltekin, Salih Sinan; Dilli, Alper; Tuerker-Arikoek, Ata; Bostanci, Hasan; Oguz-Hasdemir, Ahmet
Title     The false-positive radioiodine I-131 uptake in the foreign body granuloma located in gluteal adipose tissue: case report
Translated title     Lažno pozitivni privzem radioaktivnega J-131 v tujkovem granulomu lokaliziranem v glutealnem maščevju
Type     članek
Source     Radiol Oncol
Vol. and No.     Letnik 46, št. 1
Publication year     2012
Volume     str. 28-31
Language     eng
Abstract     Background. The purpose of using a whole-body scanning after the radioactive I-131 treatment is to screen functional residual or metastatic thyroid tissues. In whole-body scanning of some patients, false positive radioiodine I-131 uptakes may be seen in physiological uptake regions or atypical localizations. Case report. A 54 year-old woman underwent total thyroidectomy for papillary thyroid carcinoma. A positive appearance seen in the upper postero-lateral part of the right gluteal region was determined by a post-therapy I-131 whole body scan. The colour Doppler ultrasonography, magnetic resonance imaging features and histopathological characteristics of the excised lesion were presented. The lesion was demonstrated to be a foreign body granuloma. Conclusions. Unexpected positive findings in the post-therapy I-131 whole body scan should be confirmed with other imaging modalities in order to avoid unnecessary treatments. In uncertain situations, the diagnosis should be established histopathologically.
Descriptors     GRANULOMA, FOREIGN-BODY
BUTTOCKS
MAGNETIC RESONANCE IMAGING
ULTRASONOGRAPHY, DOPPLER, COLOR
IODINE RADIOISOTOPES
MIDDLE AGE
WHOLE-BODY IRRADIATION
FALSE POSITIVE REACTIONS