- 期刊
A Case of Kidney Transplantation in a Patient with Hepatocellular Carcinoma on ^(99m)Tc-MDP Bone Scintigraphy
一位肝細胞癌患者在骨骼掃描發現移植腎之檢查案例
摘要
We described a case of 51-year-old female with hepatocellular carcinoma. The patient had right chest pain that did not improve with 6 days. A ^(99m)Tc-methylene diphosphonate (MDP) bone scintigraphy was performed for bone metastasis survey. A ^(99m)Tc-MDP bone scintigraphy showed photopenic appearances in thoracic spine T11-T12. Besides, a mild soft tissue was showed in right iliac fossa. She received a kidney transplantation about 10 years ago. It is considered that the photopenic appearance is a post-radiation change and renal transplanted is in right iliac fossa. CT study of pelvis also revealed one post implanted kidney in right upper pelvis. The presented case that demonstrates the importance of carefully inspecting the genitourinary unusual lesion was shown on a ^(99m)Tc-MDP bone scintigraphy.
並列摘要
我們描述某51歲女性肝細胞癌患者。患者右胸持續疼痛且沒有改善（時間持續約6天），安排同位素鎝-99m-甲基雙磷酸鹽（^(99m)Tc-MDP）骨骼掃描評估是否有無骨骼轉移。骨骼掃描發現在第11胸椎及第12胸椎有放射缺損區域；此外，在右髂窩（right iliac fossa）發現疑似軟組織之微量放射攝取。此患者於10年前接受了移植腎。判讀影像認為在第11胸椎及第12胸椎是放射治療造成骨骼變化，右髂窩疑似軟組織微量放射攝取是移植腎。電腦斷層影像也顯示在右上骨盆（right upper pelvis）有一個移植腎。提出病例報告說明於骨骼掃描在泌尿系統器有不尋常發現時，仔細檢查病患相關病史及理學檢查報告的重要性。
延伸閱讀
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