원저 : 원발성 간암의 67Ga Scan 소견 ; 혈관조영술 소견과의 비교 ( 67Ga Scan of Primary hepatocellular Carcinoma ; Correlation with Angiography ) () |
Author |
김명준(Myung Joon Kim),유형식(Hyung Sik Yoo),이종태(Jong Tae Lee),서정호(Jung Ho Suh),박창윤(Chang Yun Park),이도연(Do Yun Lee), |
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Abstract |
The relationship between angiographic findings and
those of 67Ga scan was evaluated in 30 patients with
primary hepatocellular carcinoma diagnosed by either
pathological examination or laboratory, radiologic
findings. Twenty-three cases revealed hot activities on
67Ga scan and definite tumor stains on angiography.
Main findings of 67Ga scans of 7 cases were isoactivity
in 5 and cold area in 2, 5 of which revealed faint or
no tumor stain on angiography. Cold areas within the
primary hepatocellular carcinoma were noted in 9 cases
by 67Ga scan. In 6 cases these were due to tumor
necrosis. Remaining 3 cases had arterioportal shunt,
portal vein thrombosis and one had necrosis as well.
These results indicate that gallium uptake of primary
hepatocelluar carcinoma seems to be relatively
correlated with tumor stains on angiography. It is well
known that the necrotic portion of primary
hepatocellular carcinoma does not uptake gallium and
it's the main cause of cold areas on 67Ga scan. And we
suspect that the hemodynamic changes of primary
hepatocellular carcinoma such as 1arge arterioportal
shunt, portal vein thromosis may cause the decreased
activity on 67Ga scan. |
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Full text Article |
28500869.pdf
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