| Japanese |
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| Title | 67Ga-citrateの異常集積を認めた悪性心嚢腫瘍の一症例 |
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| Subtitle | ≪症例報告≫ |
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| Authors | 汲田伸一郎*, 西村恒彦*, 林田孝平*, 植原敏勇*, 三谷勇雄*, 山上英利*, 起塚裕美*, 今北正美** |
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| Authors(kana) | |
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| Organization | *国立循環器病センター放射線診療部, **病理 |
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| Journal | 核医学 |
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| Volume | 26 |
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| Number | 6 |
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| Page | 787-792 |
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| Year/Month | 1989/6 |
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| Article | 報告 |
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| Publisher | 日本核医学会 |
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| Abstract | 「要旨」心臓原発の悪性腫瘍はきわめて稀である. そのうちでも頻度が低い二腫瘍が同一人に発生した症例を経験した. 患者は19歳時に心嚢膜原発のhemangiomaの切除術を施行. 術後経過は良好であったが12年間経過の後, 同部位にfibrosarcomaの発生を認めた. 本症例は核医学検査である心プールシンチグラフィが存在診断に, 67Gaシンチグラフィが腫瘍の悪性度の推定に有用であった. 「I. はじめに」心不全症状を示す患者の診断に際し, 胸部X線にての心陰影評価とともに各心室・心房の拡大の有無を判定する必要がある. しかし, 胸部X線のみでは心嚢液貯留による心陰影拡大との鑑別が困難なことがあり, 心エコー法が汎用される. 一方, 核医学的手法としての心プールシンチグラフィでは心機能の算出に加え血液プール像より心嚢液の存在, 心内腔の観察が可能である. |
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| Practice | 臨床医学：一般 |
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| Keywords | Pericardial tumor, Fibrosarcoma, 67Ga-citrate. |
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| English |
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| Title | Pericardial Fibrosarcoma Demonstrated by Ga-67 Scintigraphy |
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| Subtitle | - Case Reports - |
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| Authors | Shin-ichiro KUMITA*, Tsunehiko NISHIMURA*, Kohei HAYASHIDA*, Toshiisa UEHARA*, Isao MITANI*, Hidetoshi YAMAGAMI*, Hiromi OKIZUKA*, Masami IMAKITA** |
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| Authors(kana) | |
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| Organization | *Department of Radiology, **Department of Pathology, National Cardiovascular Center |
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| Journal | The Japanese Journal of nuclear medicine |
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| Volume | 26 |
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| Number | 6 |
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| Page | 787-792 |
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| Year/Month | 1989/6 |
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| Article | Report |
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| Publisher | THE JAPANESE SOCIETY OF NUCLEAR MEDICINE |
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| Abstract | [Summary] A case of malignant fibrosarcoma originated from pericardium was reported. A 31 year-old female who complained of general fatigue and back pain showed dilated cardiac shadow in chest X-ray. Cardiac blood pool scan with 99mTc-RBC revealed avascular mass in pericardial cavity which push the heart up and left side. It was suspected to be malignant, since the mass had increased 67Ga uptake. CT and MRI also demonstrated that the tissue characterization of the pericardial mass was irregular, and the mass compressed venous return. The large mass originated from pericardium caused the right sided cardiac failure. In 12 years ago, she had a history of operation which resected benign hemangioma in the same space (pericardium). We could suspect the malignant transformation between the two rare pericardial tumors; benign hemangioma and malignant fibrosarcoma. |
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| Practice | Clinical medicine |
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| Keywords | Pericardial tumor, Fibrosarcoma, 67Ga-citrate. |
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