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锝-99m(V)二巯基丁二酸对骨闪烁显像中锝-99m亚甲基二膦酸盐摄取阳性的软骨源性肿瘤的诊断价值

Diagnostic value of Tc-99m (V) DMSA for chondrogenic tumors with positive Tc-99m HMDP uptake on bone scintigraphy.

作者信息

Kobayashi H, Kotoura Y, Hosono M, Sakahara H, Hosono M, Yao Z S, Tsuboyama T, Yamamuro T, Endo K, Konishi J

机构信息

Department of Radiology, Kyoto University, Faculty of Medicine, Japan.

出版信息

Clin Nucl Med. 1995 Apr;20(4):361-4. doi: 10.1097/00003072-199504000-00015.

Abstract

Technetium-99m (V) DMSA scintigraphy was performed in 17 patients with 37 chondrogenic tumors (13 osteochondromas, 14 enchondromas, and 10 chondrosarcomas) that had previously shown uptake of Tc-99m HMDP. Technetium-99m (V) DMSA showed high uptake by all chrondrosarcomas, but low or no uptake always indicated benign chondrogenic tumors. Technetium-99m (V) DMSA scintigraphy may be superior to Tc-99m HMDP scintigraphy for distinguishing benign and malignant chondrogenic tumors, and could also be useful for diagnosing the malignant transformation of chondrogenic tumors.

摘要

对17例患有37个软骨源性肿瘤(13个骨软骨瘤、14个内生软骨瘤和10个软骨肉瘤)的患者进行了锝-99m(V)二巯基丁二酸(DMSA)闪烁扫描,这些肿瘤先前已显示摄取锝-99m亚甲基二膦酸盐(HMDP)。锝-99m(V)DMSA显示所有软骨肉瘤均有高摄取,但低摄取或无摄取总是提示良性软骨源性肿瘤。锝-99m(V)DMSA闪烁扫描在区分良性和恶性软骨源性肿瘤方面可能优于锝-99m HMDP闪烁扫描,并且对诊断软骨源性肿瘤的恶变也可能有用。

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