| Japanese |
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| Title | 3相骨シンチグラフィの第2相で描出された乳癌の1例 |
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| Subtitle | 症例報告 |
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| Authors | 西山佳宏*, 川崎幸子*, 福永浩太郎*, 山本由佳*, 高橋一枝*, 佐藤功*, 高島均*, 大川元臣*, 田邉正忠* |
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| Organization | *香川医科大学放射線科 |
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| Journal | 核医学 |
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| Volume | 33 |
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| Number | 7 |
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| Page | 767-770 |
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| Year/Month | 1996/7 |
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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」 99mTc-HMDPを用いた3相骨シンチグラフィで乳癌描出が可能であった症例を経験した. 症例は67歳, 女性, 左乳腺のC領域に14×13mmの腫瘤を認め, 手術にて浸潤性充実腺管癌の診断を得た. 3相骨シンチグラフィの第1相では異常集積部位を指摘できなかったが, 第2相で乳腺腫瘤に一致してRIのpoolingを認めた. 経時的には乳腺腫瘍の集積程度は弱くなっていた. 第3相では乳癌への骨外集積は明らかでなかった. 超音波カラードプラ検査では乳腺腫瘍内に豊富な血流信号が存在した. 第2相で乳腺腫瘍の陽性描画を認めた原因として超音波カラードプラ検査より豊富な腫瘍血流との関係が推察された. 3相骨シンチグラフィを乳癌症例に適応することで乳癌陽性描画の可能性が示唆された. 「I. はじめに」99mTc-HMDPを用いた骨シンチグラフィは乳癌の骨転移早期発見のスクリーニング検査として臨床で広く用いられ, また時に乳癌への骨外集積も経験される. |
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| Practice | 臨床医学：一般 |
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| Keywords | Three-phase bone scintigraphy, Second phase, Breast cancer, Color Doppler ultrasonography, Hypervascularization. |
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| English |
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| Title | Second Phase 99mTc-HMDP Accumulation Using Three Phase Bone Scintigraphy in a Case of Primary Breast Cancer |
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| Authors | Yoshihiro NISHIYAMA, Yukiko KAWASAKI, Kotaro FUKUNAGA, Yuka YAMAMOTO, Kazue TAKAHASHI, Katashi SATOH, Hitoshi TAKASHIMA, Motoomi OHKAWA, Masatada TANABE |
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| Authors(kana) | |
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| Organization | Department of Radiology, Kagawa Medical School |
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| Journal | The Japanese Journal of nuclear medicine |
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| Volume | 33 |
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| Number | 7 |
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| Page | 767-770 |
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| Year/Month | 1996/7 |
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| Article | Report |
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| Publisher | THE JAPANESE SOCIETY OF NUCLEAR MEDICINE |
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| Abstract | Accumulation of 99mTc-HMDP was recognized by three-phase bone scintigraphy in a case of primary breast cancer. A 67-year-old female was found to have a 14×13mm mass in the upper lateral area of the left breast. At operation the histopathological finding was a proven solid-tubular carcinoma. On the first phase images, there was no abnormal accumulation in the tumor. On the second phase images, there was abnormal accumulation in the tumor, however, abnormal accumulation was observed followed by a decrease in accumulation. The third phase image showed no abnormal extra-skeletal accumulation. Color Doppler ultrasound sonography showed an abundance of color signals within the breast tumor. Increased 99mTc-HMDP accumulation in the second phase image might reflect tumor hypervascularization. It is concluded that three-phase bone scintigraphy using 99mTc-HMDP has the ability of positive description in primary breast cancer. |
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| Practice | Clinical medicine |
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| Keywords | Three-phase bone scintigraphy, Second phase, Breast cancer, Color Doppler ultrasonography, Hypervascularization. |
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