Case Reports in Clinical Medicine

Volume 4, Issue 11 (November 2015)

ISSN Print: 2325-7075   ISSN Online: 2325-7083

Google-based Impact Factor: 0.22  Citations  

Focal Thyroid Uptake during 18F-Choline PET/CT: A Case Report (Short Report)

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DOI: 10.4236/crcm.2015.411069    4,207 Downloads   4,796 Views  Citations


Here we report the case of a 60-year-old patient previously affected by prostate cancer treated with prostatectomy. After surgery, the patient was scheduled for routine follow up examinations including biochemical and imaging evaluations. PSA testing evidenced a light, continuous increase in the course of the last four sampling. This finding calls for a biochemical recurrence. Thus the patient underwent a 18F-Fluorocholine (FCH) PET/CT to detect the possible sites of the relapse. FCH PET/CT did not disclose any focal uptake suggesting a metastatic spread. However, one focal uptake was noticed in the lower pole of the right thyroid lobe, corresponding to a hypodense nodule. Therefore, the patient was studied with 99 mTc thyroid scan and neck ultrasound. Both examinations had findings suspicious of a neoplasm. The fine needle aspiration biopsy (FNAB) that was carried out to rule out a malignancy, gave a TIR2 result. FCH PET/CT may give thyroidal uptakes in benign lesions.

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Savelli, G. , Basile, P. , Muni, A. , Bna, C. , Pizzocaro, C. and Pagani, R. (2015) Focal Thyroid Uptake during 18F-Choline PET/CT: A Case Report. Case Reports in Clinical Medicine, 4, 345-348. doi: 10.4236/crcm.2015.411069.

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