查詢結果分析
來源資料
相關文獻
- Incidental Detection of an Invasive Thymoma during Thallium-201 Imaging for Coronary Artery Disease
- Diagnosis and Management of 34 Hurthle Cell Tumors
- 匧[fec1]Tl-[fee6]Tc Subtraction Scan for Diagnosing Abnormal Parathyroid Gland: Comparison with Other Imaging Modalities
- 非一致性衰變校正鉈-201心肌灌注掃描對國人冠心病病灶偵測之研究--與心導管結果相比較
- Dipyridamole Thallium-201 Myocardial Perfusion Single Photon Emission Computed Tomography and Two-dimensional Echocardiography in Kawasaki Disease
- Tl-Thallous Chloride Tumor Scan in Detection of Primary Oral Cancer
- 微量放射性不純核種對同位素校正儀量測鉈-201放射活度之影響與修正
- 胸腺瘤
- Situs Inversus Incidentally Found in a Patient with Thyroid Cancer
- 鉈-201心肌灌注檢查加作俯臥位造影的助益
頁籤選單縮合
題名 | Incidental Detection of an Invasive Thymoma during Thallium-201 Imaging for Coronary Artery Disease=鉈-201核醫心肌灌注掃描意外偵測出侵犯性胸腺瘤 |
---|---|
作者 | 曾若琦; 花仲涇; 蔡名峰; 張良慈; | 書刊名 | 長庚醫學 |
卷期 | 27:2 2004.02[民93.02] |
頁次 | 頁138-142 |
分類號 | 415.935 |
關鍵詞 | 鉈-201; 侵犯性胸腺瘤; 前縱膈腔腫瘤; Thallium-201; Anterior mediastinal tumor; Invasive thymoma; |
語文 | 英文(English) |
中文摘要 | 鉈-201為一種氯化鉈的化合物,目前廣泛應用於核醫心肌灌注掃描檢查,但是鈍-201也被報告有搜尋腫瘤的的功能。在許多的報告中,鉈-201可以被許多腫瘤組織吸收,包括甲狀腺瘤、肺癌、淋巴瘤、以及腦部、骨骼、肝臟和胸腺的惡性腫瘤。鉈-201也被報告使用於腫瘤治療反應的追蹤。在進行心肌灌注掃描攝影時,有時可意外發現胸腔腫瘤的例子。我們報告一個63歲的病人,罹患胸痛數週,臨床上懷疑患有缺氧性心藏疾病,因而安排進行鉈-201核醫心肌灌注掃描檢查。意外發現心臟外不正常的左前縱膈顯影。胸部電腦斷層進一步顯示為一6公分大小的左前縱膈腔腫瘤,病患接受縱膈腫瘤切除手術,病理報告證實為一侵犯性胸腺瘤,並已侵犯到左無名靜脈。術後病人接受放射線治療,病情穩定,繼續於門診追蹤。 |
英文摘要 | Thallium-201 (T1-201) is widely used for myocardial perfusion imaging, but is also reported to have potential tumor-seeking properties. T1-201 uptake has been described in various malignant diseases, including thymic tumors. Thymomas are the most frequent tumors of the anterior mediastinum, and chest pain is one of the major presentation symptoms. Sometimes, a thymoma may be overlooked on chest plain film. We report on a case of a 63-year-old man who had a history of hypertension and suffered from intermittent chest pain for several weeks. He underwent a T1-201 stress test to evaluate the presence of coronary artery disease, and during the test, abnormal uptake over focal extracardiac activity in the left upper mediasinum was incidentally revealed. Furthermore, chest computed tomography identified a 6-cm left anterior mediastinal mass. Mediastinal tumor resection was carried out, and the pathological examination demonstrated an invasive ephithelial-type thymoma, which had invaded the left innominate vein. Subsequently, the patient received postoperative radiotherapy and thenceforth responded well to treatment. A T1-201 scan has the potential to play a part in tumor detection and clinical assessment of therapeutic effects. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。