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CASE REPORT
Year : 2016  |  Volume : 6  |  Issue : 1  |  Page : 13

Rare Intensely Fluorine-18-fluorodeoxyglucose Avid Large Retropharyngeal Goiter in a Patient with Invasive Breast Carcinoma


1 Touro College of Osteopathic Medicine, New York, NY 10027, USA
2 Department of Radiology, Staten Island University Hospital, Staten Island, NY 10305, USA
3 Department of Hematology/Oncology, Staten Island University Hospital, Staten Island, NY 10305, USA

Correspondence Address:
Elliot Landau
Staten Island University Hospital, 475 Seaview Avenue, Staten Island, NY 10305
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2156-7514.179427

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Diffuse increased fluorine-18-fluorodeoxyglucose ( 18 F-FDG) avidity on positron emission tomography (PET) scans has been demonstrated in patients with chronic thyroiditis, likely secondary to increased inflammatory cell glucose uptake. A complex association has been demonstrated between breast cancer and thyroid disease, although the mechanism remains elusive. Development of chronic thyroiditis and/or goiter in breast cancer patients has been suggested to convey a more favorable prognosis. Goiter extension is almost exclusively into retrosternal space, with only a handful of cases reported with superior extension into retropharyngeal space. We present a rare case of a diffusely enlarged goiter extending superior and posterior into the retropharyngeal space with an associated intense 18 F-FDG avidity standardized uptake value maximum (SUV max ) of 16.1 in a patient with invasive ductal breast cancer. To our knowledge, this represents the first published case of diffusely 18 F-FDG avid goiter with retropharyngeal extension.


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