Benign oral disease as a cause of false-positive iodine-131 scans

Post-thyroidectomy I-131 whole-body scintigraphy is an important aspect in the management of patients with thyroid cancer. The scan is used to detect residual thyroid tissue and distant functioning metastases. Extrathyroid I-131 accumulation does not always denote metastatic disease, and several potential sources of false-positive I-131 scans have been identified. This report presents four cases of benign oral disease as a cause of false-positive I-131 uptake. Benign oral disease has not been documented previously as an important source of false-positive I-131 whole-body scans.