Journal of Yeungnam Medical Science
- 제5권2호
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- Pages.171-174
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- 1988
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- 2799-8010(eISSN)
Tachnetium-99m DISIDA Scan으로 확인된 간외전이성 간세포암 1례
Uptake of 99mTc-DISIDA in Primary Hepatocellular Carcinoma and Metastatic Nodule in the Lung
- Do, Jun-Young (Department of Internal Medicine, College of Medicine, Yeungnam University) ;
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Lee, Heon-Ju
(Department of Internal Medicine, College of Medicine, Yeungnam University) ;
- Choi, Soo-Bong (Department of Internal Medicine, College of Medicine, Yeungnam University) ;
- Lee, Hyun-Woo (Department of Internal Medicine, College of Medicine, Yeungnam University)
- 발행 : 1988.12.30
초록
Tc99-IDAs를 이용하여 원발성 간세포암뿐만 아니라 폐에 전이된 간세포암까지 확인할 수 있다는 보고가 있었기에 저자들은 원발성 간세포암에서 폐전이가 의심되는 환자에게 Tc99m-DISIDA를 이용하여 간 및 폐를 주사하여 흉부 X-선상의 폐전이와 일치하는 주사상의 열소를 확인하였으며 이는 우리나라에 많은 간세포암의 진단과 수술전 전이유무의 평가 및 치료설정에 도움이 될 수 있을 것으로 생각되어 보고하고자 한다.
Recently, several reports of extrahepatic hepatocellular carcinoma metastasis demonstrated by technetium- 99mTc-IDAs scan have shown that 99mTc-IDA s can be used to detect extrahepatic metastasis in hepatocellular carcinoma. We report here a case of hepatocellular carcinoma with pulmonary nodules that were demonstrated as metastasis in nature by the use of the 99mTc-DISIDA. The findings in this case and several reports reviewed here suggest that the 99mTc-DISIDA scan may be a useful diagnostic agent that can detect the extrahepatic metastasis of hepatocellular carcinoma and stage the disease. But more clinical study in needed to establish the position of 99mTc-DISIDA in the field of diagnosis of extrahepatic hepatocellular carcinoma.
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