Japanese
Title99mTc - tetrofosminが集積した乳癌の2症例
Subtitle症例報告
Authors足立至*, 田渕耕次郎*, 山本和宏*, 中田和伸*, 難波隆一郎*, 西垣洋*, 松井律夫*, 末吉公三*, 楢林勇*, 大久保知之**, 田本重美**, 大竹義章***
Authors(kana)
Organization*大阪医科大学放射線科, **第一内科, ***第三内科
Journal核医学
Volume33
Number5
Page531-536
Year/Month1996/5
Article報告
Publisher日本核医学会
Abstract「要旨」女性の乳癌の罹患数は14.2%と胃癌についで多く第2位を占める. 今回われわれは右胸心を合併した乳癌(乳頭腺管癌, 病期分類T4bN1aM1)ならびに完全房室ブロックにペースメーカー植え込み術の既往歴のある症例が罹患した乳癌(嚢胞内乳頭状癌, 病期分類T2aN1aM0)の2症例に心機能評価のため99mTc-tetrofosmin負荷心筋シンチグラフィを施行した. 両者ともに心筋虚血などは見られなかったが, planar像, SPECT像ともに視覚的に心筋と同程度の強い集積が乳癌の主病巣に一致して見られた. 近年欧米では99mTc-MIBIが乳癌の主病巣のみならず転移病変の検索に臨床応用されつつある. 今回は心筋虚血の有無を調べるために99mTc-tetrofosmin心筋シンチグラフィを施行したので乳癌の転移巣等は検索できなかったが, 99mTc製剤である特長を生かしたSPECT撮影も容易であるので, 99mTc-tetrofosminも乳癌の診断・治療の一助になるものと考えられた.
Practice臨床医学:一般
Keywords99mTc-tetrofosmin, Myocardial scintigraphy, Breast cancer, SPECT.
English
TitleTwo Cases of Breast Cancer Detected by 99mTc - Tetrofosmin Myocardial Scintigraphy
SubtitleCase Report
AuthorsItaru ADACHI*, Koujiro TABUCHI*, Kazuhiko YAMAMOTO*, Yasunobu NAKATA*, Ryuichiro NANBA*, Hiroshi NISHIGAKI*, Ritsuo MATSUI*, Kouzou SUEYOSHI*, Isamu NARABAYAHI*, Tomoyuki OHKUBO**, Shigemi TAMOTO**, Yoshiaki OHTAKE***
Authors(kana)
Organization*Department of Radiology, **First Department of Internal Medicine, ***Third Department of Internal Medicine, Osaka Medical College
JournalThe Japanese Journal of nuclear medicine
Volume33
Number5
Page531-536
Year/Month1996/5
ArticleReport
PublisherTHE JAPANESE SOCIETY OF NUCLEAR MEDICINE
Abstract[Summary]Breast cancer ranks the second position among the cancer of women in Japan. We report two cases of breast cancer detected by 99mTc-tetrofosmin. First case was 51years old female with breast cancer(invasive papillotubular carcinoma)and dextrocardia. She received 99mTc-tetrofosmin myocardial scintigraphy to evaluate dextrocardia and suspicious coronary artery disease. A planar image of 99mTc-tetrofosmin myocardial scintigraphy showed myocardium at the right side, gall bladder at the left lower side and abnormal uptake on the left chest wall. Transaxial images of 99mTc-tetrofosmin myocardial SPECT showed myocardium at the right side and abnormal uptake on the left chest wall. Second case was 78 years old female with breast cancer(intracystic papillary carcinoma)and arrhythmia. 99mTc-tetrofosmin myocardial scintigraphy was performed to evaluate arrhythmia and suspicious coronary artery disease. A planar image of 99mTc-tetrofosmin myocardial scintigraphy shows hot nodule at the lateral side of the myocardium. Transaxial images of 99mTc-tetrofosmin myocardial SPECT showed abnormal uptake at the left lateral side on the chest wall. Both cases appeared illed foci as abnormal uptake with 99mTc-tetrofosmin scintigraphy, although histological diagnosis was different. We conclude that 99mTc-tetrofosmin scintigraphy is helpful for evaluating breast cancer.
PracticeClinical medicine
Keywords99mTc-tetrofosmin, Myocardial scintigraphy, Breast cancer, SPECT.

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