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Reducing Suppressive Therapy in Patients with a History of Thyroid Cancer

Manfred Blum, MD; and Surekha Perlman, MD
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New York University Medical Center; New York, NY 10016

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Ann Intern Med. 1995;123(10):808-809. doi:10.7326/0003-4819-123-10-199511150-00016
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Grahic Jump Location
Figure 1.

Whole-body scan 48 hours after 4.0 mCi of I . Abnormal accumulation of the isotope is present in the posterior part of the right side of the neck (N), in the superior mediastinum just to the right of the midline (M), and in the right lung (RL). Normal activity in the blood pool outlines the body and the heart (H). Radioiodine is also present in the salivary glands, parotid gland (P), the paranasal sinus, the stomach (S), and the bowel (B). Whole-body scan 1 week after therapy with 314 mCi of I . The therapy dose was used as the tracer material. Radioiodine-labeled thyroxine in the circulation shows the body. The image of the liver (Li) reflects the enterohepatic circulation of thyroxine. Abnormal uptake is now seen in both lungs (L) and in a mass in the superior mediastinum (M). The increased uptake of the right side of the neck reflects the nodule in the back of the neck (N) and overlying salivary gland. Residual inorganic iodine can be seen in the salivary glands (SG), the stomach (S), the bladder (B), and the genital region below the bladder.

Grahic Jump Location




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