Japanese
Title乳腺腫瘍における201Tl-chlorideシンチグラフィの有用性
Subtitle原著
Authors千賀脩*, 花村直*, 寺井直樹*, 飯田太*, 小池綏男**, 矢野今朝人***, 平野浩志***, 滝沢正臣***
Authors(kana)
Organization*信州大学医学部第二外科, **長野県がん検診センター, ***信州大学医学部附属病院中央放射線科
Journal核医学
Volume22
Number7
Page1021-1028
Year/Month1985/7
Article原著
Publisher日本核医学会
Abstract「要旨」乳腺腫瘍52例に対し201Tl-chlorideシンチグラフィを施行し, 乳癌の70.5%(初発乳癌69.2%, 再発乳癌80%)に集積陽性像が認められ, 比較的大きなリンパ節転移巣にも集積が認められた. 初発乳癌において, 組織型と201Tl-chlorideの集積程度を比較すると, 乳頭腺管癌, 髄様腺管癌に強く, 硬癌には弱い集積傾向がみられた. 201Tl-chlorideの乳癌への集積は組織型の差もさることながら, 腫瘤の大きさに一致し, 2cm以下の早期乳癌においては集積がみられなかった. 再発乳癌においては, 201Tl-chlorideの集積は良好であり, 201Tl-chlorideシンチグラフィは腫瘤の広がり, 治療効果の判定などに有効であった. 一方, 乳腺の良性腫瘍では全例201Tl-chlorideの集積はみられず, 腫瘤の質的診断に有用であると考えられた. 以上の成績より, 201Tl-chlorideシンチグラフィは乳腺腫瘍の補助診断法として有意義な検査法と考えられた.
Practice臨床医学:一般
Keywords201Tl-chloride, Tumor scinti-graphy, Breast tumor, Breast carcinoma
English
TitleClinical Evaluation of 201Tl-chloride Scintigraphy for Breast Tumors
SubtitleOriginal Articles
AuthorsOsamu SENGA*, Naosi HANAMURA*, Naoki TERAI*, Futoshi IIDA*, Yasuo KOIKE**, Kesato YANO***, Hiroshi HIRANO***, Masaomi TAKIZAWA***
Authors(kana)
Organization*Department of Surgery, Faculty of Medicine, Shinshu University, **Nagano Cancer Center, ***Department of Radiological Science, Shinshu University Hospital
JournalThe Japanese Journal of nuclear medicine
Volume22
Number7
Page1021-1028
Year/Month1985/7
ArticleOriginal article
PublisherTHE JAPANESE SOCIETY OF NUCLEAR MEDICINE
Abstract[Summary] Fifty-two patients with breast tumors were scintigraphed with 201Tl-chloride. Each one was given a histological diagnosis after surgery or excisional biopsy. In 39 cases of primary breast cancer, 27 cases (69.2%) showed a positive figure by 201T1- chloride scintigraphy. In five cases of local recurrent breast cancer, four cases (80%) showed a positive figure. In examining each histological type of primary breast cancer, in 10 cases of papillotubular carcinoma, seven (70%) were positive with 201T1-chloride. In 20 patients with medullary tubular carcinoma, 17 cases (85%) revealed a positive figure. In nine cases of scirrhous carcinoma, only three cases (33.3%) were positive. Some cases showed an accumulation in the metastatic lymphnodes of the axilla with 201Tl-chloride. In three cases of phyllodes tumor, two cases (66.7%) were positive. On the other hand, all cases of benign breast tumors showed a negative figure by 201Tl-chloride scintigraphy. As to the uptake ratio of 201Tl-chloride into the breast carcinoma tissue, it was observed that papillotubular carcinoma absorbed 5.8 times as much as normal mammary gland tissue, medullary tubular carcinoma absorbed 4.7 times as much, scirrhous carcinoma absorbed 3.3 times as much as normal mammary gland tissue. In recurrent breast cancer, 201Tl-chloride scintigraphy is a useful procedure in determining the malignant area and in judging the effect of treatment. From the above mentioned results, it was concluded that 201Tl-chloride has specific affinity for malignant breast tumors and it is also very useful tumor-seeking agent to detect the early recurrent breast cancer.
PracticeClinical medicine
Keywords201Tl-chloride, Tumor scinti-graphy, Breast tumor, Breast carcinoma

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