Person R E, Bender J M
Department of Radiology, St Joseph Mercy Hospital Oakland, Pontiac, Michigan, USA.
Clin Nucl Med. 2000 Jul;25(7):516-8. doi: 10.1097/00003072-200007000-00005.
A 34-year-old woman referred for evaluation of an abdominal mass underwent a computed tomographic portagram that showed a large mass in the region of the left hepatic lobe and adjacent to the spleen. A liver-spleen scan with sulfur colloid did not clearly show whether the mass originated in the liver or the spleen. To evaluate the possibility of an accessory spleen, a selective spleen scan using Tc-99m-labeled heat-damaged red blood cells was performed and showed intense uptake in the region of the spleen only. The patient underwent surgical exploration and excision of the lesion, which proved to be focal nodular hyperplasia of the liver. Thus, the heat-damaged red blood cell scan ruled out an accessory spleen as a cause for the mass.
一名因腹部肿块前来评估的34岁女性接受了计算机断层扫描门静脉造影，结果显示左肝叶区域及脾脏附近有一个大肿块。用硫胶体进行的肝脾扫描未能明确显示该肿块是起源于肝脏还是脾脏。为评估副脾的可能性，进行了使用锝-99m标记的热损伤红细胞的选择性脾脏扫描，结果显示仅在脾脏区域有强烈摄取。该患者接受了手术探查并切除了病变，结果证实为肝脏局灶性结节性增生。因此，热损伤红细胞扫描排除了副脾是该肿块的病因。
