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用131I-间碘苄胍扫描检测西普尔综合征中的转移性甲状腺髓样癌。

Detection of metastatic medullary thyroid cancer with 131I-MIBG scans in Sipple's syndrome.

作者信息

Itoh H, Sugie K, Toyooka S, Kawase M, Mukaino S, Hazama F, Endo K, Torizuka K, Nakao K, Imura H

出版信息

Eur J Nucl Med. 1986;11(12):502-4. doi: 10.1007/BF00252798.

DOI:10.1007/BF00252798
PMID:2874028
Abstract

While 131I-meta-iodobenzyl guanidine (131I-MIBG) scanning has made possible the scintigraphic visualization of pheochromocytoma and neuroblastoma, an accumulation of this agent has recently been reported in medullary thyroid cancer. We present the case of a patient with Sipple's syndrome (multiple endocrine neoplasia type IIa), in whom we were able to identify distant metastases and local invasion of medullary thyroid cancer as well as primary thyroid tumour and right adrenal pheochromocytoma, using 131I-MIBG scans. This case highlights the usefulness of 131I-MIBG in the detection of metastatic medullary thyroid cancer and suggests that this agent may also be of therapeutic use in the treatment of tumours.

摘要

虽然¹³¹I-间碘苄胍(¹³¹I-MIBG)扫描已使嗜铬细胞瘤和神经母细胞瘤的闪烁显像成为可能,但最近有报道称该药物在甲状腺髓样癌中也有蓄积。我们报告了1例患有Sipple综合征(IIa型多发性内分泌腺瘤病)的患者,通过¹³¹I-MIBG扫描,我们能够识别出甲状腺髓样癌的远处转移和局部侵犯,以及原发性甲状腺肿瘤和右肾上腺嗜铬细胞瘤。该病例突出了¹³¹I-MIBG在检测转移性甲状腺髓样癌中的作用,并表明该药物在肿瘤治疗中也可能具有治疗用途。

相似文献

1
Detection of metastatic medullary thyroid cancer with 131I-MIBG scans in Sipple's syndrome.用131I-间碘苄胍扫描检测西普尔综合征中的转移性甲状腺髓样癌。
Eur J Nucl Med. 1986;11(12):502-4. doi: 10.1007/BF00252798.
2
Sipple's syndrome with liver tumors examined by iodine-131 MIBG and technetium-99m(V)-DMSA.通过碘-131间碘苄胍和锝-99m(V)-二巯基丁二酸检查的伴有肝肿瘤的西普尔综合征
J Nucl Med. 1988 Jun;29(6):1130-5.
3
[The assessment of clinical usefulness of 131I-MIBG scintigraphy for localization of tumors of sympathetic and adrenomedullary origin--a report of multicenter phase III clinical trials].[¹³¹I-间碘苄胍闪烁显像术对交感神经和肾上腺髓质起源肿瘤定位的临床实用性评估——多中心III期临床试验报告]
Kaku Igaku. 1992 Sep;29(9):1083-98.
4
Pentavalent technetium-99m (V)-DMSA uptake in a pheochromocytoma in a patient with Sipple's syndrome.一名患有西普尔综合征患者的嗜铬细胞瘤中五价锝-99m(V)-二巯基丁二酸的摄取情况。
J Nucl Med. 1990 Jan;31(1):106-8.
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Pitfall of Sipple's syndrome diagnosis by 131I-metaiodobenzylguanidine (MIBG).131I-间碘苄胍(MIBG)诊断西普尔综合征的陷阱。
J Nucl Med Allied Sci. 1987 Oct-Dec;31(4):337-40.
6
Thyroid uptake of MIBG in Sipple's syndrome.MIBG在希普尔综合征中的甲状腺摄取情况。
Eur J Nucl Med. 1988;14(1):37-8. doi: 10.1007/BF00252616.
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Imaging and uptake mechanism of 131I-meta-iodobenzylguanidine in medullary thyroid carcinoma.131I-间碘苄胍在甲状腺髓样癌中的成像及摄取机制
Endocrinol Jpn. 1986 Jun;33(3):309-15. doi: 10.1507/endocrj1954.33.309.
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Multiple endocrine neoplasia type 2 with malignant pheochromocytoma--long term follow-up of a case by 131I-meta-iodobenzylguanidine scintigraphy.2型多发性内分泌腺瘤病合并恶性嗜铬细胞瘤——131I-间碘苄胍闪烁扫描术对1例患者的长期随访
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[Clinical applications of 131I-meta iodobenzylguanidine (131I-MIBG) scintigraphy in Japan].[131I-间碘苄胍(131I-MIBG)闪烁扫描术在日本的临床应用]
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Imaging of medullary thyroid carcinoma and hyperfunctioning adrenal medulla using iodine-131 metaiodobenzylguanidine.使用碘-131间碘苄胍对甲状腺髓样癌和肾上腺髓质功能亢进进行成像。
J Nucl Med. 1986 Dec;27(12):1858-60.

引用本文的文献

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Metaiodobenzylguanidine and somatostatin in oncology: role in the management of neural crest tumours.间碘苄胍和生长抑素在肿瘤学中的应用:在神经嵴肿瘤管理中的作用
Eur J Nucl Med. 1994 Jun;21(6):561-81. doi: 10.1007/BF00173045.
2
(131I)meta-iodobenzylguanidine scintigraphy and selective venous catheterization after thyroidectomy for medullary thyroid carcinoma.
Med Oncol Tumor Pharmacother. 1991;8(1):7-13. doi: 10.1007/BF02988565.

本文引用的文献

1
Clonidine-suppression test: a useful aid in the diagnosis of pheochromocytoma.
N Engl J Med. 1981 Sep 10;305(11):623-6. doi: 10.1056/NEJM198109103051107.
2
Spectrum of pheochromocytoma in multiple endocrine neoplasia. A scintigraphic portrayal using 131I-metaiodobenzylguanidine.多发性内分泌肿瘤中嗜铬细胞瘤的谱系。使用131I-间碘苄胍的闪烁显像描绘。
Ann Intern Med. 1981 Jun;94(6):762-7. doi: 10.7326/0003-4819-94-6-762.
3
Scintigraphic localization of pheochromocytoma.嗜铬细胞瘤的闪烁显像定位
N Engl J Med. 1981 Jul 2;305(1):12-7. doi: 10.1056/NEJM198107023050103.
4
Inverse relationship between cardiac accumulation of meta-[131I]iodobenzylguanidine (I-131 MIBG) and circulating catecholamines in suspected pheochromocytoma.疑似嗜铬细胞瘤患者心脏中[131I]间碘苄胍(I - 131 MIBG)蓄积与循环儿茶酚胺之间的负相关关系。
J Nucl Med. 1983 Dec;24(12):1127-34.
5
Imaging of medullary thyroid cancer with 131I-MIBG.
Lancet. 1984 Jul 28;2(8396):233. doi: 10.1016/s0140-6736(84)90525-7.
6
Scintigraphic imaging of neuroblastoma with [131-I]iodobenzylguanidine.用[131-I]碘苄胍对神经母细胞瘤进行闪烁成像。
Lancet. 1984 Feb 11;1(8372):333-4. doi: 10.1016/s0140-6736(84)90375-1.
7
Pheochromocytoma in multiple endocrine neoplasia type II: an example of the two-hit theory of neoplasia.II型多发性内分泌腺瘤病中的嗜铬细胞瘤:肿瘤发生的双打击理论实例。
Surgery. 1982 Nov;92(5):849-52.
8
Mutation and cancer: statistical study of retinoblastoma.突变与癌症:视网膜母细胞瘤的统计学研究
Proc Natl Acad Sci U S A. 1971 Apr;68(4):820-3. doi: 10.1073/pnas.68.4.820.
9
Chemotherapy of thyroid cancer with adriamycin. Experience with 30 patients.
N Engl J Med. 1974 Jan 24;290(4):193-7. doi: 10.1056/NEJM197401242900404.
10
C-cell hyperplasia preceding medullary thyroid carcinoma.甲状腺髓样癌之前的C细胞增生。
N Engl J Med. 1973 Aug 30;289(9):437-41. doi: 10.1056/NEJM197308302890901.