Breast I-131 Uptake in a Postpartum Woman with Thyroid Cancer: A Case Report

作者全名："Qiao, Jie; Zeng, Ni"

作者地址："[Qiao, Jie; Zeng, Ni] Chongqing Med Univ, Yongchuan Hosp, Dept Nucl Med, Chongqing, Peoples R China; [Zeng, Ni] Chongqing Med Univ, Yongchuan Hosp, Dept Nucl Med, 439 Xuanhua Rd, Chongqing, Peoples R China"

通信作者："Zeng, N (通讯作者)，Chongqing Med Univ, Yongchuan Hosp, Dept Nucl Med, 439 Xuanhua Rd, Chongqing, Peoples R China."

来源：CURRENT MEDICAL IMAGING

ESI学科分类：CLINICAL MEDICINE

WOS号：WOS:001023049400015

JCR分区：Q3

影响因子：1.1

年份：2023

卷号：19

期号：12

开始页：1472

结束页：1475

文献类型：Article

关键词：Thyroid cancer; I-131; breast uptake; postpartum; breast irradiation; case report

摘要："Background I-131 uptake in the breast could be occasionally observed in differentiated thyroid cancer who received I-131 scintigraphy or therapy. Herein, we report a postpartum patient with papillary thyroid cancer with breast uptake who received I-131 therapy. Case Report A 33-year-old postpartum woman with thyroid cancer received 120mCi(4440MBq) I-131 therapy 5 weeks after she ceased to breastfeed. The second day after ingestion of I-131, whole-body scintigraphy demonstrated asymmetric and marked uptake in bilateral breasts. The radiation dose of I-131 in the lactating breast would decrease rapidly by reducing the activity of breasts and expressing breast milk with an electric pump once daily. Results The sixth day after administration, scintigraphy demonstrated weak uptake in bilateral breasts. Conclusion Physiologic I-131 uptake in the breast could occur in a postpartum woman with thyroid cancer who received I-131 therapy. In this patient, we find that the radiation dose of I-131 accumulated in the lactating breast would decrease rapidly through reducing the activity of breasts and expressing breast milk with an electric pump, which may be a better choice for the postpartum patient who was not given lactation-inhibiting medications and had I-131 therapy."

基金机构：　

基金资助正文：