A case of an intra-atrial tumor thrombus from hepatocellular carcinoma (HCC), first indicated by67Ga-citrate scintigraphy
| Autor: | Setsu Sato, Yukihiko Naruki, Motonobu Ozaki, Sachio Otsuka, Hirofumi Yanagidaira, Masue Muto, Masahiko Katayama, Masahiro Noguchi |
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| Rok vydání: | 1995 |
| Předmět: |
Male
medicine.medical_specialty Carcinoma Hepatocellular Phytic Acid Gallium Radioisotopes Chronic liver disease Scintigraphy Heart Neoplasms Electrocardiography Tumor thrombus medicine Humans Radiology Nuclear Medicine and imaging Radionuclide Imaging Mass/lesion medicine.diagnostic_test business.industry Liver Neoplasms Thrombosis Organotechnetium Compounds General Medicine Middle Aged medicine.disease Diaphragm (structural system) medicine.anatomical_structure Echocardiography Hepatocellular carcinoma Angiography Right atrium Radiology business |
| Zdroj: | Annals of Nuclear Medicine. 9:39-42 |
| ISSN: | 1864-6433 0914-7187 |
| DOI: | 10.1007/bf03165007 |
| Popis: | We encountered a very rare case of an intra-atrial tumor thrombus from hepatocellular carcinoma (HCC). Conventional XCT and US gave evidence of HCC. In nuclear medicine studies performed incidentally, the first study with 99mTc-phytate liver scintigraphy showed 2 SOLs and evidence of chronic liver disease, and the second study with 67Ga-citrate scintigraphy demonstrated 2 hot lesions within the liver parenchyma, and also another unexpected hot area just above the left lobe of the liver, seemingly beyond the diaphragm. When echocardiography was performed, in addition to ECG, because the patient began to complain of dyspnea, an oblong mass lesion was detected within the right atrium. Reexamination with XCT and angiography clearly proved the existence of an intraatrial tumor thrombus. These results indicate the need for routine examination by echocardiography for HCC patients complaining of dyspnea. |
| Databáze: | OpenAIRE |
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