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Case Report

Diagnostic clue of nodular fasciitis mimicking metastasis in papillary thyroid cancer, mismatching findings on 18F-FDG PET/CT and 123I whole body scan: A case report

  • Authors:
    • Minjung Seo
    • Misung Kim
    • Eun Sook Kim
    • Hongbo Sim
    • Sungmin Jun
    • Seol Hoon Park
  • View Affiliations / Copyright

    Affiliations: Department of Nuclear Medicine, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan 44033, Republic of Korea, Department of Pathology, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan 44033, Republic of Korea, Department of Internal Medicine, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan 44033, Republic of Korea, Department of Neurosurgery, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan 44033, Republic of Korea, Department of Nuclear Medicine, Kosin University Gospel Hospital, Kosin University College of Medicine, Busan 49267, Republic of Korea
  • Pages: 1167-1171
    |
    Published online on: May 17, 2017
       https://doi.org/10.3892/ol.2017.6181
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Abstract

This study reports a case of nodular fasciitis incidentally detected in a patient with papillary thyroid cancer. A 47-year-old woman underwent a total thyroidectomy and radioactive iodine therapy for papillary thyroid cancer. On a follow‑up fluorodeoxyglucose (18F‑FDG) PET/computed tomography (CT) scan after 12 months, a focal 18F‑FDG‑avid lesion was incidentally detected in the paraspinal muscle. It was well‑enhanced on CT and magnetic resonance imaging, indicating metastasis. However, the lesion was not iodine avid on the 123I whole body scan, which favored benign etiology over metastasis from thyroid cancer. For pathological confirmation, surgical excision was performed and the paraspinal lesion was finally confirmed as nodular fasciitis. Therefore, it was suggested that nodular fasciitis may be included in the differential diagnosis of a 18F‑FDG avid/iodine non‑avid soft tissue lesion in patients with thyroid cancer. In such circumstances, 123I whole body scans may serve a role in non‑invasive work‑up, and prevent unnecessary surgical procedures.
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Copy and paste a formatted citation
Spandidos Publications style
Seo M, Kim M, Kim ES, Sim H, Jun S and Park SH: Diagnostic clue of nodular fasciitis mimicking metastasis in papillary thyroid cancer, mismatching findings on 18F-FDG PET/CT and 123I whole body scan: A case report. Oncol Lett 14: 1167-1171, 2017.
APA
Seo, M., Kim, M., Kim, E.S., Sim, H., Jun, S., & Park, S.H. (2017). Diagnostic clue of nodular fasciitis mimicking metastasis in papillary thyroid cancer, mismatching findings on 18F-FDG PET/CT and 123I whole body scan: A case report. Oncology Letters, 14, 1167-1171. https://doi.org/10.3892/ol.2017.6181
MLA
Seo, M., Kim, M., Kim, E. S., Sim, H., Jun, S., Park, S. H."Diagnostic clue of nodular fasciitis mimicking metastasis in papillary thyroid cancer, mismatching findings on 18F-FDG PET/CT and 123I whole body scan: A case report". Oncology Letters 14.1 (2017): 1167-1171.
Chicago
Seo, M., Kim, M., Kim, E. S., Sim, H., Jun, S., Park, S. H."Diagnostic clue of nodular fasciitis mimicking metastasis in papillary thyroid cancer, mismatching findings on 18F-FDG PET/CT and 123I whole body scan: A case report". Oncology Letters 14, no. 1 (2017): 1167-1171. https://doi.org/10.3892/ol.2017.6181
Copy and paste a formatted citation
x
Spandidos Publications style
Seo M, Kim M, Kim ES, Sim H, Jun S and Park SH: Diagnostic clue of nodular fasciitis mimicking metastasis in papillary thyroid cancer, mismatching findings on 18F-FDG PET/CT and 123I whole body scan: A case report. Oncol Lett 14: 1167-1171, 2017.
APA
Seo, M., Kim, M., Kim, E.S., Sim, H., Jun, S., & Park, S.H. (2017). Diagnostic clue of nodular fasciitis mimicking metastasis in papillary thyroid cancer, mismatching findings on 18F-FDG PET/CT and 123I whole body scan: A case report. Oncology Letters, 14, 1167-1171. https://doi.org/10.3892/ol.2017.6181
MLA
Seo, M., Kim, M., Kim, E. S., Sim, H., Jun, S., Park, S. H."Diagnostic clue of nodular fasciitis mimicking metastasis in papillary thyroid cancer, mismatching findings on 18F-FDG PET/CT and 123I whole body scan: A case report". Oncology Letters 14.1 (2017): 1167-1171.
Chicago
Seo, M., Kim, M., Kim, E. S., Sim, H., Jun, S., Park, S. H."Diagnostic clue of nodular fasciitis mimicking metastasis in papillary thyroid cancer, mismatching findings on 18F-FDG PET/CT and 123I whole body scan: A case report". Oncology Letters 14, no. 1 (2017): 1167-1171. https://doi.org/10.3892/ol.2017.6181
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