From the Division of Nuclear Medicine and PET/CT, Sirio-Libanes Hospital, São Paulo, Brazil.
Clin Nucl Med. 2014 Jan;39(1):74-6. doi: 10.1097/RLU.0b013e3182815d28.
A 43-year-old man, previously submitted to right hepatectomy, right hepatic artery chemoembolization, and surgical resection of liver lesions, with well-differentiated and moderately differentiated hepatocellular carcinoma (HCC) confirmed by histopathology, underwent cholescintigraphy with Tc diisopropyliminodiacetic acid (Tc-DISIDA) due to recurrent cholangitis. The scintigraphic images and the coregistered CT images showed radiotracer uptake in an area of biliary ectasia near the hepatic surface (which may be associated with recurrent cholangitis), in a hepatic nodule, and in multiple pulmonary metastases.
一位 43 岁男性，曾行右半肝切除术、右肝动脉化疗栓塞术和肝脏病变切除术，术后组织病理学检查证实为高分化和中分化肝细胞癌（HCC），因复发性胆管炎行 Tc 二异丙基亚氨二醋酸（Tc-DISIDA）胆系闪烁成像。闪烁成像和同机 CT 图像显示，在肝表面附近的胆管扩张区（可能与复发性胆管炎相关）、肝结节和多个肺转移灶中摄取放射性示踪剂。
