Bess M A, Bartholomew L G, Wahner H W, Adson M A
Clin Nucl Med. 1978 Dec;3(12):453-5. doi: 10.1097/00003072-197812000-00001.
A case of hepatic metastasis with a clinical differential diagnosis of amebic and bacterial abscess is presented. Hepatic scanning with 67Ga-citrate did not diagnostically differentiate the lesion. Hepatic arteriography combined with a therapeutic trial of metronidazole proved useful in defining the lesion. An understanding of the pathophysiologic process involved in 67Ga scanning of hepatic lesions suggests a non-invasive method of discriminating among these clinical diagnostic possibilities.
本文报告一例肝转移病例，临床鉴别诊断为阿米巴脓肿和细菌性脓肿。用枸橼酸镓进行肝脏扫描未能在诊断上区分病变。肝动脉造影结合甲硝唑治疗试验被证明有助于明确病变。了解肝脏病变镓扫描所涉及的病理生理过程提示了一种区分这些临床诊断可能性的非侵入性方法。
