子宫平滑肌瘤肾外摄取99mTc-DMSA：从误诊到SPECT/CT显像的澄清。

IF 9.6 3区医学 Q1 RADIOLOGY, NUCLEAR MEDICINE & MEDICAL IMAGING

Clinical Nuclear Medicine Pub Date : 2025-05-01 Epub Date: 2025-04-07 DOI:10.1097/RLU.0000000000005721

Mohammad Hadi Samadi, Pegah Sahafi, Haniye Elahifard, Bahram Memar, Somaye Barashki

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引用次数: 0

摘要

我们报告了一名 42 岁女性的 DMSA 肾脏扫描结果，该女性新近出现了腹部疼痛。超声波检查发现肾积水和肾结石。99mTc-DMSA 肾脏扫描显示左肾皮质全面缺失和多处皮质缺损，腹盆腔偶见大面积摄取区，最初怀疑为膀胱。SPECT/CT成像证实这是一个巨大的子宫肌瘤，并在永久病理中得到证实。本病例强调了先进的成像技术在区分生理器官和肿瘤肿块以及避免误诊方面的重要性。

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Extrarenal Uptake of 99mTc-DMSA in Uterine Leiomyoma: From Misdiagnosis to Clarity With SPECT/CT Imaging.

We present a DMSA renal scan finding in a 42-year-old woman with new flank pain. Ultrasonography revealed hydronephrosis and renal stones. A 99mTc-DMSA renal scan showed global cortical loss and multiple cortical defects in the left kidney, with an incidental large zone of uptake in the abdominopelvic region initially suspected as bladder. SPECT/CT imaging clarified this as a large leiomyoma which is proved in permanent pathology. This case highlights the importance of advanced imaging to distinguish physiological organs from tumoral masses and avoid misdiagnosis.

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来源期刊

Clinical Nuclear Medicine 医学-核医学

CiteScore

2.90

自引率

31.10%

发文量

1113

审稿时长

2 months

期刊介绍： Clinical Nuclear Medicine is a comprehensive and current resource for professionals in the field of nuclear medicine. It caters to both generalists and specialists, offering valuable insights on how to effectively apply nuclear medicine techniques in various clinical scenarios. With a focus on timely dissemination of information, this journal covers the latest developments that impact all aspects of the specialty. Geared towards practitioners, Clinical Nuclear Medicine is the ultimate practice-oriented publication in the field of nuclear imaging. Its informative articles are complemented by numerous illustrations that demonstrate how physicians can seamlessly integrate the knowledge gained into their everyday practice.