| Japanese |
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| Title | 二次性リンパ浮腫のリンパシンチグラムによる検討 |
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| Subtitle | 原著 |
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| Authors | 朝倉浩一*, 小野慈*, 渡井喜一*, 柚田勝輝*, 川島博之*, 池上匡*, 氏家盛通**, 松井謙吾* |
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| Authors(kana) | |
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| Organization | *横浜市立大学医学部放射線医学教室, **中央放射線部 |
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| Journal | 核医学 |
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| Volume | 20 |
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| Number | 1 |
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| Page | 23-27 |
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| Year/Month | 1983/2 |
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| Article | 原著 |
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| Publisher | 日本核医学会 |
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| Abstract | 「要旨」悪性腫瘍のリンパ節転移などで下腿に二次性リンパ浮腫を来した41症例に対し, 99mTc-硫黄またはレニウムコロイドによりリンパシンチグラムを行いその所見を検討した. シンチグラム所見は浮腫の程度により5つのパターンに分類された. すなわちA) 正常と観察されるもの. B) リンパ節の欠損像, C) 大腿皮下へのラジオコロイドの逆流, D) 大腿部リンパ管内のラジオコロイドの残存. E) ラジオコロイドがそけいリンパ節まで上昇せず, 皮下の取り込みもない, である. A) からE) になる程高度のリンパ浮腫のパターンであり, 臨床の浮腫の程度と相関していた. リンパシンチグラムは二次性リンパ浮腫の程度, 原因を知る上で有効な方法である. |
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| Practice | 臨床医学：一般 |
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| Keywords | Lymphoscintigram, Secondary Lymphedema, Lower extremity, Cancer metastasis |
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| English |
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| Title | Lymphoscintigraphic Ealuation in the Patients with Secondary Lymphedema of Lower Extremities |
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| Subtitle | Original Articles |
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| Authors | Koichi ASAKURA*, Yoshimi ONO*, Kiichi WATARI*, Katsuteru YUZUTA*, Hiroyuki KAWASHIMA*, Tadashi IKEGAMI*, Morimichi UJIIE**, Kengo MATSUI* |
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| Authors(kana) | |
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| Organization | *Department of Radiology, School of Medicine, Yokohama City University, **Department of Radiology, Yokohama City University Hospital |
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| Journal | The Japanese Journal of nuclear medicine |
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| Volume | 20 |
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| Number | 1 |
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| Page | 23-27 |
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| Year/Month | 1983/2 |
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| Article | Original article |
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| Publisher | THE JAPANESE SOCIETY OF NUCLEAR MEDICINE |
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| Abstract | [Summary] The results of lymphoscintigraphy in 41 patients with secondary lymphedema of lower extremities using Tc-99m sulfur or rhenium colloid were reviewed. These patients include 23 uterine cervix cancers, 12 other pelvic tumors, 4 malignant lymphomas and others. The patterns of scintigrams were classified as follows; (A) normal radiocolloid distributuion in the ilioinguinal chain of the nodes; (B) decreased uptake or defect in the ipsilateral iliac and/or inguinal nodes; (C) diffuse soft tissue activity throughout lower extremity due to radiocolloid back flow; (D) persistent radioactivity in the lymph vessels in the entire lower extremity; and (E) markedly decreased uptake in the ilioinguinal nodes without dermal back flow. These scintigraphic patterns were well correlated with clinical grades of lymphedemas. The correlation between these findings and clinical grades of lymphedema were observed more severely if the pattern classification goes (A) to (E). This scintigraphic study to evaluate the patients with secondary lymphedema is valuable to determine the cause and the grade of edema without any significant risk. |
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| Practice | Clinical medicine |
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| Keywords | Lymphoscintigram, Secondary Lymphedema, Lower extremity, Cancer metastasis |
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