Japanese
Title骨シンチグラム像 - 乳癌術後に観察された胸骨柄およびその周囲の骨の非対称性集積について -
Subtitle原著
Authors小野慈*, 朝倉浩一*, 田之畑一則*, 中森昭敏*, 松井謙吾*, 田中利彦**, 野田丈子**, 山本洋一**
Authors(kana)
Organization*横浜市立大学医学部放射線医学教室, **神奈川県立成人病センター放射線科
Journal核医学
Volume18
Number7
Page929-934
Year/Month1981/8
Article原著
Publisher日本核医学会
Abstract「要旨」 乳癌術後に観察される胸骨周囲の非対称性集積の頻度を求め, 年齢, 病期, 病理, 術後経過時間, lateralityとの関係を調べた. 手術後より6か月までの間に非対称性集積の出現する頻度は高く, 約60%にみとめられた. .時間経過とともに漸減したが5年以上経過群にても15%にみとめられた. 術側への集積がほとんどで, 対側への集積は少なかった. 年齢の増加とともに頻度は多くなった. 病理組織所見との間には特別な関係はみられなかったが, 病期の進行と非対称性集積の頻度には相関がみとめられた. 以上の結果は, 胸骨周囲の骨シンチグラムの読影に役立つものと考察した.
Practice臨床医学：一般
Keywordsbone scan, 99mTc-MDP, sternum, mastectomy
English
TitleAn Asymmetrical Uptake of 99mTc-MDP on the Manubrium Sterni and its Surrounding Bone in the Patients with Mastectomy
SubtitleOriginal Articles
AuthorsYoshimi ONO*, Koichi ASAKURA*, Kazunori TANOHATA*, Akitoshi NAKAMORI*, Kengo MATSUI*, Joko NODA**, Toshihiko TANAKA**, Yoichi YAMAMOTO**
Authors(kana)
Organization*Department of Radiology, School of Medicine, Yokohama City University, **Department of Radiology, Kanagawa-Ken Seijinbyo Center
JournalThe Japanese Journal of nuclear medicine
Volume18
Number7
Page929-934
Year/Month1981/8
ArticleOriginal article
PublisherTHE JAPANESE SOCIETY OF NUCLEAR MEDICINE
Abstract[Summary] Detail bone structure could have been shown in bone scans using 99mTc-phosphorous complexes and high resolution scinticamera. Uptake of the sternum and its surrounding bone structures were considered one of the most obscure region in bone scans with interpretation. An asymmetrical uptake of the sternum was commonly found in patients who recieved a radical mastectomy for breast cancer. This study will report the frequency of asymmetrical sternal uptake in related to age, stage, pathology and the period after surgery. Two handred twenty two patients without skeletal metastasis were evaluated in this study. Among these, 24 cases were examined before surgery. Each patients was administrated 10 - 18mCi of 99mTc-(Sn)methylene diphosphonic acid(99mTc-MDP)intravenously. Three to five hours later, anterior and posterior whole body bone scan were taken using dual 5 inches scanner, and several regional images were taken using high resolution scintilation camera. An asymmetrical increased uptake of 99mTc-MDP on the sternoclavicular joint and the first costal cartilage were found 25.7% in 288 scans. This finding were clesely related to the side of surgery and to the periods after mastectomy. In the periods of one to six months after surgery, this findings were found over 50%. The frequency of this findings were found to be increased with their ages. We found the intimate relations between this findings and the TNM classification, but neither to their histopathological findings. It is important to recognize these post operative asymmetrical accumulation on the sternal area for follwing up the patients with cancer of the breast after radical mastectomy.
PracticeClinical medicine
Keywordsbone scan, 99mTc-MDP, sternum, mastectomy

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