| Japanese |
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| Title | 67Gaシンチグラフィーにて心臓に著明な集積を示した心臓原発悪性リンパ腫の一例 |
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| Subtitle | 症例報告 |
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| Authors | 渡雅文*, 渡邊祐子*, 石元篤雄*, 金國鐘*, 鈴木豊** |
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| Organization | *茅ケ崎徳洲会総合病院内科, **東海大学医学部放射線科 |
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| Journal | 核医学 |
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| Volume | 29 |
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| Number | 1 |
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| Page | 111-116 |
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| Year/Month | 1992/1 |
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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」67Gaシンチグラフィーが治療方針の決定, 経過観察にきわめて有用であった心臓原発の悪性リンパ腫の一症例を経験したので, 文献的考察を加えて報告する. 労作時息切れを主訴に来院した67歳の症例で, 胸部X線写真で心陰影の拡大があり, 心エコー上大量の心嚢液貯留と心房内腫瘤を認めた. 67Gaシンチグラフィーで心臓に限局した著明な集積が認められたため, 悪性腫瘍を強く疑い放射線治療を開始したところ, 腫瘤の縮小と同時にガリウムの集積も消失した. その後経過観察中, 皮膚に腫瘤が出現し, 切除生検にて悪性リンパ腫と確定した. 心臓原発の悪性リンパ腫はきわめて稀な疾患であるが, ガリウムの強い集積が見られた場合には, 鑑別診断の対象とすべきと思われる. 「I. はじめに」心臓原発の悪性リンパ腫はきわめて稀であり, これまでに30例前後の報告がみられるだけである. この中で67Gaシンチグラフィーで心臓に集積を認めた例は数例しかない. |
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| Practice | 臨床医学：一般 |
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| Keywords | Primary cardiac lymphoma, 67Ga scintigraphy. |
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| English |
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| Title | A Case Report of Primary Cardiac Lymphoma Presented with Marked Cardiac Accumulation of 67Ga-Citrate |
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| Subtitle | Case Reports |
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| Authors | Masafumi WATARI*, Yuhko WATANABE*, Atsuo ISHIMOTO*, Kunikane KIM*, Yutaka SUZUKI** |
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| Authors(kana) | |
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| Organization | *Department of Internal Medicine, Chigasaki Tokushukai Medical Center, **Department of Nuclear Medicine, School of Medicine, Tokai University |
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| Journal | The Japanese Journal of nuclear medicine |
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| Volume | 29 |
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| Number | 1 |
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| Page | 111-116 |
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| Year/Month | 1992/1 |
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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 primary malignant lymphoma of the heart is reported. The patient who was a 67-year old male presented with dyspnea on exertion. The chest X-ray film showed an enlarged cardiac silhouette. UCG showed massive pericardial effusion and a mass in the right atrium. Although pathological confirmation was failed in the cardiac biopsy, malignant cardiac tumor was strongly suspected by a gallium scintigraphy, which showed marked accumulation in the heart. After irradiation therapy the cardiac tumor diminished in size and the cardiac 67Ga-citrate accumulation also disappeared. Multiple skin metastases, however, were soon noted, and a subsequent skin biopsy confirmed the diagnosis of maligmant lymphoma. He died within 11 months in spite of systemic chemotherapy. Primary cardiac lymphoma is extremely rare, but this case suggested the cardiac mass with positive gallium scintigraphy have a possibility of cardiac lymphoma. |
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| Practice | Clinical medicine |
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| Keywords | Primary cardiac lymphoma, 67Ga scintigraphy. |
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