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脾脏闪烁扫描术新进展:经热损伤红细胞闪烁扫描术证实为脾组织异位的肺部及胸膜病变

Splenic scintigraphy-reloaded: Pulmonary and pleural lesions proven to be splenosis by heat-damaged erythrocyte scintigraphy.

作者信息

Wimmer Irina, Staudenherz Anton

机构信息

Karl Landsteiner University of Health Sciences, Dr. Karl-Dorrek-Straße 30, Krems, 3500, Austria.

Department of Nuclear Medicine, Molecular Imaging and Special Endocrinology, University Hospital St. Pölten, Dunant-Platz 1, St. Poelten, 3100, Austria.

出版信息

Radiol Case Rep. 2022 Sep 24;17(12):4466-4469. doi: 10.1016/j.radcr.2022.08.098. eCollection 2022 Dec.

DOI:10.1016/j.radcr.2022.08.098
PMID:36189155
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9515435/
Abstract

We report the case of a 60-year-old patient whose computed tomography revealed multiple pleural foci that were classified as potentially malignant. After revealing traumatic splenectomy in the patient's history, the differential diagnosis of splenosis was considered and a 99m-techentium heat-damaged autologous red blood cells scintigraphy performed. This conventional method can be used to reliably make an exact diagnosis avoiding more expensive or invasive methods.

摘要

我们报告了一例60岁患者的病例,其计算机断层扫描显示多个胸膜病灶,被归类为潜在恶性。在了解到患者既往有外伤性脾切除术后,考虑了脾组织自体移植的鉴别诊断,并进行了锝-99m热损伤自体红细胞闪烁扫描。这种传统方法可用于可靠地做出准确诊断,避免使用更昂贵或侵入性更强的方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d37b/9515435/0bc822f668c1/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d37b/9515435/9fe1ca583128/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d37b/9515435/0bc822f668c1/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d37b/9515435/9fe1ca583128/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d37b/9515435/0bc822f668c1/gr2.jpg

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本文引用的文献

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Small bowel obstruction due to splenosis 30 years after splenectomy.脾切除术后30年因脾组织自体移植导致小肠梗阻。
Ann R Coll Surg Engl. 2020 Nov;102(9):e1-e3. doi: 10.1308/rcsann.2020.0131. Epub 2020 Jun 8.
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Seeing isn't necessarily believing: Misleading contextual information influences perceptual-cognitive bias in radiologists.眼见不一定为实:误导性的背景信息会影响放射科医生的感知认知偏差。
J Exp Psychol Appl. 2020 Dec;26(4):579-592. doi: 10.1037/xap0000274. Epub 2020 Apr 23.
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Splenosis of the Mesoappendix with Acute Appendicitis: A Case Report.
盲肠系膜脾组织异位症合并急性阑尾炎:1 例报告。
Am J Case Rep. 2020 Apr 17;21:e921685. doi: 10.12659/AJCR.921685.
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Splenosis Mimicking Lymphoma Relapse Confirmed by F-FDG PET/CT and Tc-99m Nano-colloid Scintigraphy Thirty Years After Splenectomy for Trauma.脾切除术后30年,F-FDG PET/CT及Tc-99m纳米胶体闪烁扫描术证实脾组织植入酷似淋巴瘤复发
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Chronic Abdominal Pain from Disseminated Splenosis.播散性脾组织植入引起的慢性腹痛
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Hepatobiliary and Pancreatic: Hepatic splenosis: a rare differential of a liver mass in an HBV endemic area.肝胆胰:肝脾组织异位:乙肝流行地区肝脏肿块的一种罕见鉴别诊断。
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Understanding and Confronting Our Mistakes: The Epidemiology of Error in Radiology and Strategies for Error Reduction.认识并直面我们的错误:放射学中的错误流行病学及减少错误的策略
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