Author |
손인(In Sohn),권인순(In Soon Kwon),박정식(Jung Sik Park),이명철(Myung Chul Lee),조보연(Bo Yeon Cho),고창순(Chang Soon Koh),이문호(Mun Ho Lee), |
Abstract |
Sixty-nine patients with diffuse lung uptake of Tc-99m-
tin colloid were evaluated to determine the kinds of
associated diseases, the incidence of associated liver
scan abnormalities, and prognosis. The results were as
follows: 1) Diseases (associated with dliffuse lung
uptake included malignancies in 3l patients, infectious
diseases in 19, chronic liver diseases in 14, and
others in 5, It appeared that the marked degree of lung
uptake was associated with severe diseases. 2) Thirty-
one of the 69 patients(45%) had abnormal liver size,
43(62%) had space occupying lesions or nonhomogeneity
in liver image, 37(54%) had splenomegaly and 45(65%)
had increased splenic uptake. In creased bone marrow
uptake was found in 48(70%) and renal uptake in
15(22%). As the degree of lung uptake increased, there
was a statistically significant (p〈0.05) tendency for
the incidences of the abnormal liver image and renal
uptake to increase. 3) Sixty-two of the 69 patients
were followed up for one to 439 days (mean 44 days)
after liver scanning. Eleven(l8%) were dead, 10(16%)
were aggravated, and 13(21%) were improved. Most of
improved patients had infectious diseases. It appeared
that diffuse lung uptake of Tc-99m-Tn colloid was found
in the various diseases including malignancies,
infections, and chronic liver diseases, and that it was
strongly associated with other liver scan
abnormalities, but was not necessarily associated with
a poor prognosis, particularly when underlying diseases
were infections. |