Mateos Fernández J, Pons Pons F, Fuster Pelfort D, Vidal-Sicart S, Lomeña Caballero F, Herranz García-Romero R
Servicio de Medicina Nuclear, Hospital Clínic, Barcelona, 08036, España.
Rev Esp Med Nucl. 1999 Oct;18(5):325-30.
The usefulness of 111In-pentetreotide scintigraphy in the diagnosis of neuroendocrine tumors was evaluated.
39 patients with clinical or biochemical suspicion of neuroendocrine tumors were studied. 29 patients underwent surgery and diagnosis was confirmed by anatomopathology findings (7 mixed tumors, 6 carcinoids, 3 insulinomas, 3 pheocromocytomas, 2 glucagonomas, 2 medullary thyroid carcinomas, 1 gastrinoma and 5 metastatic lesions). In 10 patients who did not undergo surgery, the diagnostic criteria were based on a 6 month follow-up. 111In-pentetreotide scintigraphy and computed tomography (CT) were performed in all of the patients.
The scintigraphy correctly detected 58% of the primary tumors while the CT was positive in only 45% of the cases. Both techniques detected metastasis in 5 patients.
111In-pentetreotide scintigraphy is a useful technique to diagnose those tumors that have somatostatin receptors. In our series, the sensitivity of this method was higher than the CT.
评估了铟-111 喷替肽闪烁扫描术在神经内分泌肿瘤诊断中的实用性。
对 39 例临床或生化检查怀疑患有神经内分泌肿瘤的患者进行了研究。29 例患者接受了手术,诊断通过解剖病理学检查结果得以证实(7 例混合瘤、6 例类癌、3 例胰岛素瘤、3 例嗜铬细胞瘤、2 例胰高血糖素瘤、2 例甲状腺髓样癌、1 例胃泌素瘤和 5 例转移灶)。10 例未接受手术的患者,诊断标准基于 6 个月的随访。所有患者均进行了铟-111 喷替肽闪烁扫描术和计算机断层扫描(CT)。
闪烁扫描术正确检测出 58%的原发性肿瘤,而 CT 的阳性率仅为 45%。两种技术均在 5 例患者中检测到转移灶。
铟-111 喷替肽闪烁扫描术是诊断具有生长抑素受体肿瘤的一种有用技术。在我们的研究系列中,该方法的敏感性高于 CT。