The Korean Journal of Nuclear Medicine (대한핵의학회지)

The Korean Society of Nuclear Medicine (대한핵의학회)
권호 표지

Simultaneous Visualization of the Sublingual Thyroid and Lactating Breasts with Tc-99m Pertechnetate Scintigraphy

설하갑상선과 수유중 유방이 Tc-99m Pertechnetate 스캔에 동시에 관찰된 증례

  • Seo, Ji-Hyoung (Department of nuclear medicine, Kyungpook National University Hospital, Kyungpook National University Medical School) ;
  • Seong, Young-Ok (Department of nuclear medicine, Kyungpook National University Hospital, Kyungpook National University Medical School) ;
  • Bae, Jin-Ho (Department of nuclear medicine, Kyungpook National University Hospital, Kyungpook National University Medical School) ;
  • Jeong, Shin-Young (Department of nuclear medicine, Kyungpook National University Hospital, Kyungpook National University Medical School) ;
  • Ahn, Byeong-Cheol (Department of nuclear medicine, Kyungpook National University Hospital, Kyungpook National University Medical School) ;
  • Lee, Jae-Tae (Department of nuclear medicine, Kyungpook National University Hospital, Kyungpook National University Medical School) ;
  • Lee, Kyu-Bo (Department of nuclear medicine, Kyungpook National University Hospital, Kyungpook National University Medical School)
  • 서지형 (경북대학교 의과대학 핵의학교실) ;
  • 성영옥 (경북대학교 의과대학 핵의학교실) ;
  • 배진호 (경북대학교 의과대학 핵의학교실) ;
  • 정신영 (경북대학교 의과대학 핵의학교실) ;
  • 안병철 (경북대학교 의과대학 핵의학교실) ;
  • 이재태 (경북대학교 의과대학 핵의학교실) ;
  • 이규보 (경북대학교 의과대학 핵의학교실)
  • Published : 2005.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The thyroglossal duct runs from the base of the tongue to the thyroid. Rarely the thyroid completely fails to migrate and results in ectopic thyroid tissue, which can be demonstrated scintigraphically. A 31-year old female patient was referred for thyroid scintigraphy due to protruding mass at the base of the tongue. She was mildly hypothyroid. Te-99m pertechnetate thyroid scan was performed to rule out ectopic thyroid gland. There showed a focal area of intense tracer uptake in sublingual area, suggesting the sublingual thyroid. In addition there noted diffusely increased tracer uptake in both breasts. The patient delivered a baby 6 months prior to the scan and was on breast-feeding. Free Tc-99m pertechnetate physiologically secrets into the salivary glands, the stomach, the gastrointestinal tract, the genitourinary tract and the mammary glands and sodium-iodide symporter plays a role in the accumulation of free Tc-99m pertechnetate. We report simultaneous visualization of lactating breasts and ectopic thyroid gland in the base of the tongue.

Keywords

References

  1. Ell PL, Gambhir SS. Nuclear medicine in clinical diagnosis and treatment. 3rd ed. Edinburgh: Churchill Livingstone: 2004
  2. Thrall JH, Ziessman HA. Nuclear Medicine The Requisites 2nd ed. Mosby: 2001
  3. Spieth ME, Veluvolu P, Schimitz SL. SPECT and planar imaging of a lingual thyroid gland. Clin Nucl Med 2003;28:140-141 https://doi.org/10.1097/00003072-200302000-00015
  4. Aktolun C, Demir H, Berk F, Metin Kir K. Diagnosis of complete ectopic lingual thyroid with Tc-99m pertechnetate scintigraphy. Clin Nucl Med 2001;26:933-935 https://doi.org/10.1097/00003072-200111000-00009