Biomaterial Database

Possible explanation of appearance of Warthin's tumor on I-123 and Tc-99m-pertechnetate scans. 1981

A R Siddiqui, and E C Weisberger

A 71-year old man presented with a parotid mass and a thyroid nodule. An I-123 scan revealed a "cold" nodule in the thyroid and uptake of the radioactive iodine in the parotid mass. On a Tc-99m-pertechnetate salivary gland scan, the parotid mass was "hot" and did not wash out with sodium perchlorate. At surgery, he was found to have a Warthin's tumor of the parotid gland and an adenomatous goiter. The reasons for the scan appearance of the Warthin's tumor are discussed. Since Warthin's tumors are benign and uptake of radioactive iodine in the extrathyroidal deposits of thyroid carcinoma is rare with the thyroid gland in place, the uptake of iodine by a salivary gland mass probably indicates a benign process.

UI	MeSH Term	Description	Entries
D007457	Iodine Radioisotopes	Unstable isotopes of iodine that decay or disintegrate emitting radiation. I atoms with atomic weights 117-139, except I 127, are radioactive iodine isotopes.	Radioisotopes, Iodine
D008297	Male		Males
D010306	Parotid Gland	The largest of the three pairs of SALIVARY GLANDS. They lie on the sides of the FACE immediately below and in front of the EAR.	Gland, Parotid,Glands, Parotid,Parotid Glands
D010307	Parotid Neoplasms	Tumors or cancer of the PAROTID GLAND.	Cancer of Parotid,Parotid Cancer,Cancer of the Parotid,Neoplasms, Parotid,Cancer, Parotid,Cancers, Parotid,Neoplasm, Parotid,Parotid Cancers,Parotid Neoplasm
D011877	Radionuclide Imaging	The production of an image obtained by cameras that detect the radioactive emissions of an injected radionuclide as it has distributed differentially throughout tissues in the body. The image obtained from a moving detector is called a scan, while the image obtained from a stationary camera device is called a scintiphotograph.	Gamma Camera Imaging,Radioisotope Scanning,Scanning, Radioisotope,Scintigraphy,Scintiphotography,Imaging, Gamma Camera,Imaging, Radionuclide
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000235	Adenolymphoma	A benign tumor characterized histologically by tall columnar epithelium within a lymphoid tissue stroma. It is usually found in the salivary glands, especially the parotid.	Cystadenoma Lymphomatosum, Papillary,Warthin Tumor,Adenolymphomas,Papillary Cystadenoma Lymphomatosum,Tumor, Warthin
D000368	Aged	A person 65 years of age or older. For a person older than 79 years, AGED, 80 AND OVER is available.	Elderly
D013667	Technetium	The first artificially produced element and a radioactive fission product of URANIUM. Technetium has the atomic symbol Tc, and atomic number 43. All technetium isotopes are radioactive. Technetium 99m (m	Technetium 99m,99m, Technetium
D013670	Sodium Pertechnetate Tc 99m	A gamma-emitting radionuclide imaging agent used for the diagnosis of diseases in many tissues, particularly in the gastrointestinal system, cardiovascular and cerebral circulation, brain, thyroid, and joints.	Pertechnetate Sodium,Tc 99m-Pertechnetate,Technetium Tc 99m Pertechnetate,99Tc-Pertechnetate,99TcmO4,99mTcO4,Pertechnetate,Technetium Pertechnetate,Technetium Tc 99m O(4),Technetium-99mTc-pertechnetate,99Tc Pertechnetate,99m-Pertechnetate, Tc,Pertechnetate, Technetium,Sodium, Pertechnetate,Tc 99m Pertechnetate,Technetium 99mTc pertechnetate