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頁籤選單縮合
題名 | Hepatic Cysts Mimicking Hepatic Metastases in I-131 WBS and SPECT/CT=在I-131 WBS和SPECT/CT中擬似肝轉移的肝囊腫 |
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作者 | 莊紫翎; 王昱豐; | 書刊名 | Annals of Nuclear Medicine and Molecular Imaging |
卷期 | 36:3 2023.09[民112.09] |
頁次 | 頁115-121 |
分類號 | 415.2165 |
關鍵詞 | 肝囊腫; 肝轉移; 碘131癌症檢查; 單光子電腦斷層/電腦斷層造影; 甲狀腺癌; Hepatic cysts; Hepatic metastases; I-131 cancer work up; SPECT/CT; Thyroid cancer; |
語文 | 英文(English) |
DOI | 10.6332/ANMMI.202309_36(3).0005 |
中文摘要 | 一位58歲的女性在6個月內減少了5~6公斤。甲狀腺超音波顯示1個11.0×9.0mm邊界不清的低回音腫瘤,合併中央鈣化,冷凍切片顯示乳突癌。雙側甲狀腺全切除術顯示甲狀腺右葉乳突癌,合併雙葉橋本氏甲狀腺炎。手術後給予116 mCi放射性碘,全身碘131掃描合併單光子電腦斷層/電腦斷層造影(single photon emission tomography/computed tomography, SPECT/CT)顯示頸部有攝取,以及肝臟有兩個病灶。SPECT/CT的2.5 mA低能量電腦斷層顯示肝臟兩個不明顯的低密度病灶,疑似肝轉移;然而,診斷性含對比劑顯影之電腦斷層顯示多個肝囊腫。 |
英文摘要 | A 58-year-old woman lost 5-6 kg in 6 months. Thyroid sonography showed one 11.0 × 9.0 mm ill-defined hypoechoic tumor with central calcification. Frozen biopsy showed papillary carcinoma. Bilateral total thyroidectomy showed papillary carcinoma of the right lobe of the thyroid gland, with Hashimoto's thyroiditis in both lobes. After operation, 116 mCi radioiodine was administrated, and whole body I-131 scan with single-photon emission computed tomography/computed tomography (SPECT/ CT) showed uptake in the neck area and two foci at the liver. Two unclearly hypodense lesions seen at the 2.5 mA low energy CT of SPECT/CT suggested hepatic metastasis. However, diagnostic contrast-enhanced CT showed multiple liver cysts. |
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