Bianchi F, D'Antonio A, Bianchi B, Palmieri R, Spinelli F M, Polimero F
I Divisione di Chirurgia Generale, U.S.L. N. 16 Regione Calabria, Ospedale S. Giovanni di Dio.
Chir Ital. 1990 Feb-Apr;42(1-2):69-78.
The authors illustrate the use of nuclear medicine in tumours of the breast. The techniques can be used at various stages: 1) in the study of remote metastases (usually blood-borne)--bone and parenchymal scintigraphy; and 2) in the study of tumour spread to the lymph glands (axillary and mammary). The techniques of lymphoscintigraphy of the mammary lymphatic plexus and of axillary lymphoscintigraphy are illustrated, and scintigram readout parameters are defined. The Authors also discuss the possibility of using this examination for adequate preoperative tumour staging, as well as the possibility of obtaining even more accurate lymphoscintigraphic images, endowed with even more selective specificity, by means of the use of monoclonal antibodies labelled with radioactive substances.
作者阐述了核医学在乳腺肿瘤中的应用。这些技术可用于不同阶段:1)在远处转移(通常通过血行转移)的研究中——骨和实质闪烁扫描;2)在肿瘤向淋巴结(腋窝和乳腺)扩散的研究中。文中阐述了乳腺淋巴丛淋巴闪烁扫描和腋窝淋巴闪烁扫描技术,并定义了闪烁扫描图的读出参数。作者还讨论了将该检查用于术前肿瘤充分分期的可能性,以及通过使用放射性物质标记的单克隆抗体获得具有更高选择性特异性的更精确淋巴闪烁扫描图像的可能性。