간해면상혈관종에 대한 Tc-99m-RBC Scan의 진단적 의의

Abstract

The evaluation of solitary hepatic lesions is a common c]inica] problem.

Assurance that such a lesion is not a highly vascular is a necessary prerequisite to percutaneous liver biopsy.

The appearance of focal hepatic lesions on Tcᅳ99m-sulfur colloid image is non-specific. Recently Tc-99rn-labelled RBC was introduced as an agent for differentiation of hemangiomas from other foca] hepatic lesions. A flow study showing decreased perfusion and a late b]ood-poo] study showing increased local blood volume appear characteristic of hemangioma. Liver biopsy should not be attempted in such cases.

The authors experienced a case of cavernous hemangioma of liver, diagnosed with Tc-99m-RBC.

著者들은 最近 Tc-99m-RBC를 이용하여 肝海綿狀血管腫 一例를 經驗하였기에 文獻考察과 함께 報告하는 바이며, 經皮肝生檢전 海綿狀血管腫의 가능성을 排除하기 위한 Tc-99m-RBC 肝走査의 效用性을 강조코자 한다.