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Technetium-99m Pentavalent DMSA Imaging Detects Metastases of Poorly Differentiated Carcinoma of the Thyroid

COSTA, D. C., M.D., MSc.*; GLYNNE-JONES, R., M.B., B.S.; FALZON, M., M.D.; LUI, D. BSc*; RYDER, J. P.*; ELL, P. J., M.D., MSc., P.D.

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A case of medullary carcinoma of the thyroid with high calcilonin levels (11.8 μg/l) and bony metastases seen with Tc-99m (V)-DMSA is presented. It demonstrates the usefulness of this imaging agent in detecting metastases of poorly differentiated carcinoma of the thyroid. In this case of a 69-year-old woman, Tc-99m (V)-DMSA Imaging, In conjunction with serum calcitonin levels and his-tologic evaluation, helped to establish the definitive diagnosis.

*Institute of Nuclear Medicine, Meyerstein Institute of Radiotherapy, London, United Kingdom

†Bland Sutton Institute of Histopathology, London, United Kingdom

‡ University College and Middlesex School of Medicine, London, United Kingdom

© Lippincott-Raven Publishers.