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99m锝-高锝酸盐甲状腺闪烁扫描在因先前头颈部放疗而易患甲状腺肿瘤的患者中的应用

99mTc-pertechnetate thyroid scintigraphy in patients predisposed to thyroid neoplasms by prior radiotherapy to the head and neck.

作者信息

Arnold J, Pinsky S, Ryo U Y, Frohman L, Schneider A, Favus M, Stachura M, Arnold M, Colman M

出版信息

Radiology. 1975 Jun;115(3):653-7. doi: 10.1148/15.3.653.

DOI:10.1148/15.3.653
PMID:1129480
Abstract

Histories, physical examinations and 99mTc-pertechnetate imaging were used to evaluate 1,452 persons who had had x-ray therapy to the neck region for benign conditions 18 to 35 years previously. Thyroid abnormalities were found in 301 patients (21%) and thyroid malignancy was found in 29% of 193 patients with abnormal studies who were explored surgically. Thyroid imaging detected 96% of these abnormalities, 40% of which would not have been unequivocally established by physical examination alone. Nuclear imaging could not distinguish benign from malignant lesions.

摘要

对1452名18至35年前因良性疾病接受颈部X线治疗的患者进行了病史、体格检查及99m锝高锝酸盐显像评估。301例患者(21%)发现甲状腺异常,在193例接受手术探查的检查异常患者中,29%发现甲状腺恶性肿瘤。甲状腺显像检测出这些异常中的96%,其中40%仅通过体格检查无法明确诊断。核成像无法区分良性和恶性病变。

相似文献

1
99mTc-pertechnetate thyroid scintigraphy in patients predisposed to thyroid neoplasms by prior radiotherapy to the head and neck.99m锝-高锝酸盐甲状腺闪烁扫描在因先前头颈部放疗而易患甲状腺肿瘤的患者中的应用
Radiology. 1975 Jun;115(3):653-7. doi: 10.1148/15.3.653.
2
Comparison of 99mTc and 123I for thyroid imaging.
J Nucl Med. 1976 Apr;17(4):261-7.
3
Thyroid carcinoma and radiation therapy.
N Z Med J. 1977 Oct 12;86(597):335-6.
4
Occurrence of previous neck radiotherapy among patients with associated non-medullary thyroid carcinoma and parathyroid adenoma or hyperplasia.伴有非髓样甲状腺癌及甲状旁腺腺瘤或增生的患者既往颈部放疗情况。
Acta Chir Scand. 1978;144(1):7-11.
5
Natural history of radiation-associated thyroid cancer.辐射相关甲状腺癌的自然病史。
Arch Intern Med. 1978 Nov;138(11):1631-4.
6
Thyroid cancer occurring as a late consequence of head-and-neck irradiation. Evaluation of 1056 patients.头颈部放疗晚期发生的甲状腺癌。对1056例患者的评估。
N Engl J Med. 1976 May 6;294(19):1019-25. doi: 10.1056/NEJM197605062941901.
7
Histologic changes in previously irradiated thyroid glands.先前接受过放射治疗的甲状腺的组织学变化。
Arch Pathol Lab Med. 1980 Mar;104(3):150-2.
8
Early visualization of 99mTc-pertechnetate in metastatic thyroid cancer in a patient with Graves' disease.格雷夫斯病患者转移性甲状腺癌中高锝[99mTc]酸盐的早期显影。
J Nucl Med. 1971 Jan;12(1):40-2.
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Comparative accumulation of 99mTc and 131I in thyroid nodules: case report.
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10
Radiation and thyroid carcinoma: radiotherapy, head and neck regions, thyroid carcinoma.辐射与甲状腺癌:放射治疗、头颈部区域、甲状腺癌
Head Neck Surg. 1985 Jan-Feb;7(3):217-24. doi: 10.1002/hed.2890070306.

引用本文的文献

1
Thyroid cancer following juvenile neck irradiation: -a new role for thyroid imaging.青少年颈部放疗后的甲状腺癌:甲状腺成像的新作用
West J Med. 1975 Nov;123(5):387-8.
2
A differential nuclear uptake and retention of 3H-androgens in the thyroids of baboons.狒狒甲状腺中³H-雄激素的核摄取与滞留差异。
J Endocrinol Invest. 1988 Sep;11(8):571-5. doi: 10.1007/BF03350183.
3
Thyroid cancer. Delayed effects of head and neck irradiation in children.甲状腺癌。儿童头颈部放疗的迟发效应。
West J Med. 1975 Oct;123(4):340.