Research ArticleTeaching Case Studies

Axillary Lymph Nodal Metastases from Thyroid Carcinoma: Report of 2 Cases with Review of Literature

Shashank Shekhar Singh, Swathy Krishnan, Nitheeshraj K. Tigapuram, Ashwani Sood, Swayamjeet Satapathy, Manish Rohilla, Sindhu Tanigassalam and Bhagwant Rai Mittal
Journal of Nuclear Medicine Technology March 2021, 49 (1) 89-91; DOI: https://doi.org/10.2967/jnmt.120.249128

Article Figures & Data

Figures

  • FIGURE 1.
    FIGURE 1.

    (A) Diagnostic whole-body 131I planar anterior image showing negative findings. (B) 18F-FDG PET/CT maximum-intensity-projection image showing abnormal foci of tracer uptake in bilateral cervical, right supraclavicular, right axillary and right thoracic regions. (C–E) Fused axial PET/CT images showing right cervical lymph nodes (C, arrow), axillary lymph nodes (D, arrow), and right ALN, as well as right lung nodule (E, arrow).

  • FIGURE 2.
    FIGURE 2.

    Fine-needle aspiration from right ALN yielded colloid mixed material and cellular smears. (A) Tumor cells arranged in papillae and small clusters (May Grunwald–Giemsa stain; ×40). (B) Tumor papilla with rolled-up margins (May Grunwald–Giemsa stain; ×100). (C and D) Individual tumor cells showing nuclear enlargement with focal crowding and prominent intranuclear pseudo inclusion (arrows; May Grunwald–Giemsa stain; ×200).

  • FIGURE 3.
    FIGURE 3.

    (A–C) Posttherapy whole-body 131I planar anterior image (A) and fused axial SPECT/CT images (B and C) showing intensely tracer-avid remnant (solid black arrow), faintly tracer-avid left ALN, and highest mediastinal (red arrows) and prevascular (dashed arrow) lymph nodes. (D) Diagnostic whole-body 131I planar anterior image after 6 mo showing resolution of remnant and left ALN with faint tracer uptake in mediastinum (arrow).

Additional Files

Back to top

In this issue

Print
Download PDF
Article Alerts
Email Article
Citation Tools
Bookmark this article

Jump to section

Keywords