Japanese
Title骨シンチグラフィにおける女性乳房描出についての検討
Subtitle原著
Authors宇野公一*, 内田佳孝**, 坂田昌一***, 蓑島聡*, 岡田淳一*, 吉川京燦*, 有水昇*, 刈込正人**, 北方勇輔**, 鈴木義男**
Authors(kana)
Organization*千葉大学医学部放射線科, **君津中央病院放射線科, ***千葉市立海浜病院放射線科
Journal核医学
Volume29
Number10
Page1201-1206
Year/Month1992/10
Article原著
Publisher日本核医学会
Abstract「要旨」骨シンチグラフィ全身およびスポット像から, 450症例, 793乳房(乳癌207例, 非乳腺腫瘍243例)を対象に年代別の女性乳房描出率, ならびに手術前乳癌患者(前述207例中100例)の腫瘍側乳房への集積増加, および腫瘍への集積から診断が可能か否かをretrospectiveに検討した. 非乳腺腫瘍群を年代別にみると30代をピークにその後加齢とともに減少したが, 70代以降も乳房描出が認められた. 授乳等ホルモンの影響が大いに関与していると考えられた. 乳癌群および非乳腺腫瘍群の乳房描出率では平均68%, 30%と明らかに差が認められた. また, 腫瘍側乳房への集積増加は12%に認められたが, 癌の局在診断はきわめて困難であった. しかし, 乳房集積に左右差のある場合は42%の症例に癌が存在したので, 骨シンチグラム読影の際には考慮する必要があると思われた.
Practice臨床医学:一般
KeywordsBone scintigraphy, Female breast, 99mTc-MDP.
English
TitleVisualization of Female Breast in Bone Scintigraphy
SubtitleOriginal Articles
AuthorsKimiichi UNO*, Yoshitaka UCHIDA**, Syouichi SAKATA***, Satoshi MINOSHIMA*, Junichi OKADA*, Kyosan YOSHIKAWA*, Noboru ARIMIZU*, Masato KARIKOMI**, Yuusuke KITAKATA**, Yoshio SUZUKI**
Authors(kana)
Organization*Department of Radiology, Chiba University School of Medicine, **Department of Radiology, Kimitsu Central Hospital, ***Department of Radiology, Chiba Kaihin Hospital
JournalThe Japanese Journal of nuclear medicine
Volume29
Number10
Page1201-1206
Year/Month1992/10
ArticleOriginal article
PublisherTHE JAPANESE SOCIETY OF NUCLEAR MEDICINE
Abstract[Summary]Breast cancer incidence rates in Japan have more than doubled in the decade between 1975 and 1985 due to a well-established and affluent Western life-style. One hundred patients having breast cancer, 107 patients having mastectomies, and 243 patients having no breast cancer were reviewed for whole body and spot views of bone scintigraphy with 99mTc-MDP. The frequency of positive breast uptake in patients with no breast cancer showed a maximum in those patients between the ages of 30 and 40, with a progressive rise and fall before and after the peak, respectively. Patients between the ages of 50 and 60 with breast cancer showed a maximum uptake of 83%, while those patients between the ages of 70 and 80 with breast cancer showed an uptake higher than 50%. There was a markedly higher breast uptake ratio in the breast cancer group compared to the breast cancer free group. Although this scanning agent was of no value in recognition of tumor localization from breast uptake, we have to suspect a high incidence of cancer existence whenever there was unilateral increased breast activity. Even though the mechanism of 99mTc-MDP uptake by breast tissue is unknown, breast concentration of 99mTc-MDP appears to be influenced by hormones, especially estrogen.
PracticeClinical medicine
KeywordsBone scintigraphy, Female breast, 99mTc-MDP.

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