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Usefulness of SPECT/CT in the Diagnosis of Intrathoracic Goiter versus Metastases From Cancer of the Breast

Dümcke, Christine W., MD; Madsen, Jan L., MD, DMSc

doi: 10.1097/01.rlu.0000252175.44833.49
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A 77-year-old woman was referred because of local reoccurrence of cancer of the breast. Chest x-ray showed a mediastinal tumor with dislocation of the trachea to the right. A Tc-99m pertechnetate scan showed irregular tracer uptake in an enlarged left lobe of the thyroid gland. Ultrasound confirmed the diagnosis of a nodular goiter with intrathoracic growth of the left lobe. A SPECT/CT scan of the mediastinum clearly showed that the soft tissue tumor was the left lobe of the thyroid gland, and not lymphatic metastases.

From the Department of Clinical Physiology and Nuclear Medicine, Hvidovre Hospital, University of Copenhagen, Hvidovre, Denmark.

Received for publication June 6, 2006; accepted October 23, 2006.

Reprints: Christine W. Dümcke, MD, Department of Clinical Physiology and Nuclear Medicine, Hvidovre Hospital, University of Copenhagen, Kettegaard Allé 30, 2650 Hvidovre, Denmark. E-mail: christine.duemcke@hvh.regionh.dk.

© 2007 Lippincott Williams & Wilkins, Inc.