[肾上腺肿瘤中摄取123i-mibg显像假阳性2例]。

Q4 Medicine
Shota Fukae, Yuki Horibe, Yohei Yamanaka, Tetsuji Soda, Sachiko Hongo, Iwao Yoshioka, Shingo Takada
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引用次数: 0

摘要

病例1是一位71岁的女性,她的初级保健医生检查了她的心悸和高血压。尿激素检测结果显示,尿中肾上腺素升高0.20 mg/d,尿中去甲肾上腺素升高0.45 mg/d,尿中去甲肾上腺素升高234.9 μg/d。123I-MIBG示右侧肾上区摄取,因嗜铬细胞瘤转诊至我科。她接受了腹腔镜右肾上腺切除术,病理结果显示诊断为肾上腺皮质腺瘤。病例2为70岁女性,曾在我院接受高血压检查。血激素检测结果显示去甲肾上腺素升高0.70 ng/ml。123I-MIBG扫描显示左侧肾上区摄取,因嗜铬细胞瘤转介至我科。经腹腔镜左肾上腺切除术,病理结果未见肿瘤病变。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[TWO CASES OF FALSE POSITIVE 123I-MIBG SCINTIGRAPHY FINDINGS OF UPTAKE IN ADRENAL TUMORS].

Case 1 was a 71-year-old female who had been examined by her primary care physician for palpitation and hypertension. Urinary hormone test results revealed elevated urine metanephrine at 0.20 mg/day, urine normetanephrine at 0.45 mg/day and urine noradrenalin at 234.9 μg/day. 123I-MIBG scintigraphy showed uptake in the right suprarenal area, thus she was referred to our department because of pheochromocytoma. She underwent a laparoscopic right adrenalectomy and pathological results led to a diagnosis of adrenocortical adenoma. Case 2 was a 70-year-old female who had been examined at our hospital for hypertension. Blood hormone test results revealed elevated noradrenalin at 0.70 ng/ml. 123I-MIBG scintigraphy showed uptake in the left suprarenal area and she was referred to our department because of pheochromocytoma. She underwent a laparoscopic left adrenalectomy, thus pathological results showed no tumor lesion.

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来源期刊
Japanese Journal of Urology
Japanese Journal of Urology Medicine-Urology
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