Schiff R G, Leonidas J, Shende A, Lanzkowski P
Department of Radiology, Schneider Children's Hospital, New Hyde Park, New York.
Clin Nucl Med. 1987 Oct;12(10):785-7. doi: 10.1097/00003072-198710000-00005.
Intrathoracic splenosis results from the implantation of splenic tissue in the thoracic cavity following simultaneous rupture of the spleen and diaphragm. These implants may form mass lesions that lead to an extensive, costly, and invasive series of investigations, usually resulting in unnecessary surgery. The key to diagnosis is a high index of suspicion provoked by the history of a traumatic event, possibly in the distant past. This report emphasizes that because of its ability to demonstrate the functional nature of tissue, a definitive diagnosis can be made using heat-damaged Tc-99m RBCs without the need for surgical intervention.
胸腔内脾组织异位是由于脾脏和膈肌同时破裂后，脾组织植入胸腔所致。这些植入物可能形成肿块病变，导致一系列广泛、昂贵且具有侵入性的检查，通常会导致不必要的手术。诊断的关键是根据创伤事件史（可能发生在遥远的过去）引发的高度怀疑指数。本报告强调，由于热损伤的锝-99m红细胞能够显示组织的功能性质，因此无需手术干预即可使用其做出明确诊断。
