Young S A, Shapiro B
Department of Internal Medicine, University of Michigan Medical Center, VA Medical Center, Ann Arbor 48109-0028, USA.
Clin Nucl Med. 1998 Aug;23(8):528-31. doi: 10.1097/00003072-199808000-00008.
A 44-year-old woman with Klippel-Trenaunay-Weber syndrome (KTWS) was evaluated for an adrenal mass incidentally discovered on CT. An NP-59 scintigraph showed normal symmetric adrenal tracer uptake, and a Tc-99m labeled RBC scan showed no evidence for an adrenal hemangioma but did show characteristic dilated and tortuous vasculature at multiple other sites. The mass was removed and found to be an adrenal pseudocyst. The pseudocyst was believed to have arisen from a pre-existing, thrombosed and organized adrenal hemangioma. This case demonstrates the previously reported utility of RBC scintigraphy in the depiction of the vascular abnormalities in the diagnosis and treatment of patients with Klippel-Trenaunay-Weber syndrome, as well as the utility of NP-59 scintigraphy in evaluating patients with adrenal masses.
一名患有克-特-韦综合征（KTWS）的44岁女性因CT偶然发现肾上腺肿块而接受评估。NP-59闪烁扫描显示肾上腺示踪剂摄取正常且对称，Tc-99m标记红细胞扫描未显示肾上腺血管瘤的证据，但在多个其他部位显示出特征性的扩张和迂曲血管。肿块被切除，发现是一个肾上腺假性囊肿。该假性囊肿被认为起源于先前存在的、血栓形成并机化的肾上腺血管瘤。本病例证明了先前报道的红细胞闪烁扫描在描绘克-特-韦综合征患者血管异常以用于诊断和治疗方面的作用，以及NP-59闪烁扫描在评估肾上腺肿块患者中的作用。
