| Japanese |
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| Title | 興味ある核医学検査所見を呈した非ホジキンリンパ腫心臓転移の一例 |
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| Subtitle | 症例報告 |
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| Authors | 河原俊司*, 小須田茂*, 石橋章彦*, 田村宏平*, 篠原央**, 飯尾宏**, 向井美和子*** |
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| Authors(kana) | |
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| Organization | *国立大蔵病院放射線科, **外科, ***病理 |
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| Journal | 核医学 |
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| Volume | 26 |
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| Number | 4 |
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| Page | 529-534 |
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| Year/Month | 1989/4 |
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| Article | 報告 |
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| Publisher | 日本核医学会 |
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| Abstract | 「I. はじめに」 悪性リンパ腫の心臓への転移は, 剖検では約10-30%に認められるが, 臨床症状を現すことが少なく, 生前に確認される例はきわめて稀とされている. 今回われわれは, 非ホジキンリンパ腫の心臓転移症例に心RIアンギオグラフィを施行し, 右房内に欠損像を認め, 病巣に一致して67Gaおよび201T1の集積を認めた興味ある一例を経験したので, 若干の文献的考察を加えて報告する. 「II. 症例」 症例 : 57歳, 男性 主訴 : 息切れ, 上半身の浮腫 既往, 現病歴 : 昭和57年11月回盲部非ホジキンリンパ腫 (国際分類 : Diffuse mixed型) を罹患し, 昭和57年12月右半結腸切除術および化学療法 (サイクロフォスファマイド, プレドニゾロン)がなされている. その後, 外来にて経過観察中であったが, 63年3月下旬より息切れ, 上半身の浮腫が出現し, 4月5日入院となった. |
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| Practice | 臨床医学：一般 |
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| Keywords | non-Hodgkin's lymphoma, 201T1-chloride, 67Ga-citrate, RI angiography, Neoplastic heart disease |
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| English |
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| Title | A Case of Cardiac Metastasis from Non-Hodgkin's Lymphoma Demonstrating Interesting Findings through Radionuclide Studies |
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| Authors | Shunji KAWAHARA*, Shigeru KOSUDA*, Akihiko ISHIBASHI*, Kouhei TAMURA*, Hisashi SHINOHARA**, Hiroshi IIO**, Miwako MUKAI*** |
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| Authors(kana) | |
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| Organization | *Department of Radiology, **Department of Surgery, ***Department of Pathology, Okura National Hospital |
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| Journal | The Japanese Journal of nuclear medicine |
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| Volume | 26 |
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| Number | 4 |
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| Page | 529-534 |
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| Year/Month | 1989/4 |
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| Article | Report |
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| Publisher | THE JAPANESE SOCIETY OF NUCLEAR MEDICINE |
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| Abstract | [Summary] We have presented a quite rare case of non-Hodgkin's lymphoma developing cardiac metastasis which was demonstrated and confirmed by radionuclide studies and autopsy. A 57-year-old male with SVC syndrome underwent radionuclide angiography using 99mTc-HSA prior to 67Ga-citrate and 201T1-chloride studies for suspected right atrial metastasis from non-Hodgkin's lymphoma. The radionuclide angiography revealed a filling defect in the right atrium. 67Ga and 201T1 studies showed increased accumulations of both nuclides in the right atrium, in congruence with the region showing a filling defect through the radionuclide angiography. These results suggest that combined radionuclide studies, such as radionuclide angiography, 67Ga and 201T1 studies, might be useful in detecting metastatic tumor in the heart. |
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| Practice | Clinical medicine |
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| Keywords | non-Hodgkin's lymphoma, 201T1-chloride, 67Ga-citrate, RI angiography, Neoplastic heart disease |
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