Manfredi O L, Aruny J E
Clin Nucl Med. 1979 Mar;4(3):99-107. doi: 10.1097/00003072-197903000-00004.
99mTc-pyrophosphate and 99mTc-diphosphonate have successfully been employed in the diagnosis of neoplastic pelvic disease in women. In our ongoing study, 48 women with pelvic masses, underwent dynamic pelvic scintigraphy, correlative ultrasonography and exploratory laparotomy. Dynamic scintigraphy and region of interest time/activity curves generated from computerized data acquisition have proven effective in the differential diagnosis of uterine leiomyomas from ovarian cysts. In a group of 24 women whose scintigraphic data were consistent with our criteria for uterine leiomyoma, 21 were confirmed histologically. Of 30 women, 29 were accurately diagnosed on scintigraphy as having an ovarian cyst and two patients with coexisting ovarian cysts and uterine fibroids were both correctly diagnosed prior to surgery. Detected lesions ranged from 6--22 cm in diameter. Our findings support the use of dynamic pelvic scintigraphy for differentiating uterine leiomyomas from ovarian cysts.
99m锝-焦磷酸盐和99m锝-二膦酸盐已成功用于女性盆腔肿瘤疾病的诊断。在我们正在进行的研究中，48例有盆腔肿块的女性接受了动态盆腔闪烁扫描、相关超声检查及剖腹探查术。动态闪烁扫描以及由计算机数据采集生成的感兴趣区时间/活性曲线已被证明在鉴别子宫平滑肌瘤与卵巢囊肿方面有效。在一组24例闪烁扫描数据符合我们子宫平滑肌瘤标准的女性中，21例经组织学证实。在30例女性中，29例在闪烁扫描中被准确诊断为患有卵巢囊肿，2例同时患有卵巢囊肿和子宫肌瘤的患者在手术前均被正确诊断。检测到的病变直径范围为6至22厘米。我们的研究结果支持使用动态盆腔闪烁扫描来鉴别子宫平滑肌瘤与卵巢囊肿。
