Thursday, April 13, 2006

The False-Positive "Necklace"


A woman with papillary thyroid carcinoma treated with surgery and postoperative 131-I returned four years later for a whole-body survey. The imaging results initially suggested disease recurrence but were later found to be false positive and due to 131-I uptake in a necklace that had been contaminated by the patient’s saliva. According to doctors at the University of Washington in Seattle, where this occured, this case stresses the importance of having the patient remove all jewelry before undergoing a radioiodine survey.

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