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題 名 | [fee6]Tc-Labeled Heat-Denatured Red Blood Cell Scintigraphy for Differential Diagnosis of Splenosis vs. Gastric Tumor in a Case of Upper Gastrointestinal Bleeding=以鎝-99m標幟熱破壞紅血球核醫造影鑑別診斷脾官能過旺及胃腫瘤在上消化道出血病人--病例報告 |
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作 者 | 陳毓雯; 王建國; 黃英峰; 王文明; 劉金昌; | 書刊名 | 核子醫學雜誌 |
卷 期 | 12:4 1999.12[民88.12] |
頁 次 | 頁201-205 |
分類號 | 415.509 |
關鍵詞 | 鎝-99m標幟熱破壞紅血球造影; 消化道出血; 脾官能過旺; [fee6]Tc-labeled denatured RBC scan; Gastrointestinal bleeding; Splenosis; |
語 文 | 英文(English) |
中文摘要 | 上消化道出血合併先前脾臟破裂及脾臟切除病史時,脾官能過旺須列入鑑別診斷:鎝-99m標熾熱破壞紅血球核醫造影對於脾臟組織偵測有很高的敏感度及專一性。本文提出一四十歲男性病人,二十年前因運動傷害脾臟破裂,接受脾臟切除,病人因輕年型中風,在本院接受追?治療,最近因急性大量吐血,入院診斷治療,初期的胃鏡及腹部電腦斷層診斷為一胃基底處胃腫瘤,但進一步磁振掃描造影懷疑在原脾床脾官能過旺,經鎝-99m標幟熱破壞紅血球核醫造影診斷,於相對應解剖位置,有明顯放射活性累積,經診斷為脾官能過旺,最後病人於門診追?。 |
英文摘要 | We report a 40-year-old male who suffered from sudden onset of upper gastrointestinal bleeding with previous history of splenectomy and stroke. A large protruding submucosal mass was found in the gastric fundus during the gastroendoscopic examination. The contrast enhanced abdominal CT also revealed a large lobular soft tissue mass with extraluminal protrusion and diaphragmatic invasion in the gastric fundus. Based on this observation, gastric stromal tumor was considered. However, the identified intact gastric wall, with external compression from a solid retroperitoneal tumor was noted in MRI image. Under the suspicion of splenosis with extensive invasion, we suggested 99mTc-labeled heat-denatured red blood cell scintigraphy for differential diagnosis. In addition, the 99mTc-labeled heat-dena- tured red blood cell scintigraphy demonstrated a focal radioactive accumulation in the left upper retroperi-toneum which was compatible with the low portion one of soft tissue masses in the MRI finding. 99mTc-labeled heat-denatured red blood cell scintigraphy is a useful, high sensitive and specific imaging procedure to identify splenic tissue of splenosis in a gastrointestinal bleeding case with history of splenectomy. |
本系統中英文摘要資訊取自各篇刊載內容。